Active NPI
Inkyu Ahn, D.M.D
- Dentist
- Hermitage, PA
National Provider Identifier
1922447911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039588
- Practice address
- 1049 N Hermitage Rd
Hermitage, PA 16148-3114 - Phone
- (724) 704-0034
- NPI assigned
- Jun 23, 2013
- Last updated
- Jun 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039588 | PA | Primary |
Addresses
Primary practice location
1049 N Hermitage Rd
Hermitage, PA 16148-3114
Mailing address
5701 Centre Ave Apt 1410
Pittsburgh, PA 15206-3748
Phone (412) 295-7837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160524000535 | PA | Order and Referring Only - Dentist | 5496044992 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039588 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371945600000",
"number": "1922447911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 CENTRE AVE APT 1410",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063748",
"telephone_number": "412-295-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 N HERMITAGE RD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483114",
"telephone_number": "724-704-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "INKYU",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-23",
"last_updated": "2013-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.