Organization Active NPI

Hana Dental Care P.C.

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1881618536
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048768 Issued in NY
Legal business name
HANA DENTAL CARE P.C.
Practice address
16224 Crocheron Ave
Flushing, NY 11358-1658
Phone
(718) 961-9100
Fax
(718) 961-9029
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Han Jong Kang, D.D.S.
Title
President
Phone
(718) 961-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 048768 NY Primary

Addresses

Primary practice location

16224 Crocheron Ave
Flushing, NY 11358-1658

Mailing address

16224 Crocheron Ave
Flushing, NY 11358-1658
Phone (718) 961-9100

Other identifiers 1

IdentifierTypeStateIssuer
02064120MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Hana Dental Care PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881618536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16224 CROCHERON AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581658",
            "telephone_number": "718-961-9100",
            "fax_number": "718-961-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16224 CROCHERON AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581658",
            "telephone_number": "718-961-9100",
            "fax_number": "718-961-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANA DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "JONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-961-9100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02064120",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.