Individual provider Active NPI

Sung Hyon Han, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Norwalk, CT
National Provider Identifier
1962902478
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
13795 Issued in CT
Practice address
9 Washington St
Norwalk, CT 06854-2704
Phone
(917) 744-7129
NPI assigned
Feb 20, 2018
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 13795 CT Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 063245 NY

Addresses

Primary practice location

9 Washington St
Norwalk, CT 06854-2704

Mailing address

25 N Lexington Ave Apt 1212
White Plains, NY 10601-1760
Phone (917) 744-7129

Other practice location 1

320 Boston Ave
Stratford, CT 06614-5213
Phone (203) 375-1388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829004664 IL Order and Referring Only - DentistPractitioner - Dentist 2668722364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
063245NYMDPharmacist
13795CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Team Dental Center PA Dentist CurrentSince Jun 22, 2026 Accepting new patients
Montefiore Medical Center Past Accepting new patients
New London Dental Care, LLC Oral and Maxillofacial Surgery Past Accepting new patients
SPH Meriden LLC Past Accepting new patients
Sono Dental Group, LLC Oral and Maxillofacial Surgery Past Accepting new patients

Locations

2515 Route 516
Fl Second
Old Bridge, NJ 08857
Phone (732) 679-3600

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: shan5@montefioredirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1962902478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N LEXINGTON AVE APT 1212",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011760",
            "telephone_number": "917-744-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542704",
            "telephone_number": "917-744-7129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Boston Ave",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066145213",
            "country_code": "US",
            "telephone_number": "203-375-1388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "SUNG HYON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "13795",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "063245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.