DR. DAEWON HAAM (NPI# 1013267061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013267061 |
| Entity Type | Individual |
| Full Name | DR. DAEWON HAAM |
| Credential | D.D.S. |
| Practice Address |
630 W 168th St Ph7 - 318 D New York NY 10032-3725 |
| Practice Telephone | 2123426909 |
| Practice Fax Number | 2123058493 |
| Mailing Telephone | 2123426909 |
| Mailing Fax Number | 2123058493 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
000034-1 | NY | Dental Providers |
| Street Address |
630 W 168TH ST PH7 - 318 D |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486377 | Angela Jiyeon Yoon | Dentist | 630 W 168th St, Ph 1562, New York, NY 10032-3702 | 2005-06-10 |
| 1528669793 | Chrissa Pantazis | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-11-04 |
| 1942801410 | Rozalina Abramov | Pharmacist | 630 W 168th St, New York, NY 10032-3725 | 2020-11-02 |
| 1235742438 | Lindsey Root Kus | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-08-26 |
| 1144833344 | William Tyler Marshall | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-08-26 |
| 1619589868 | Swen D Paguia | Student in an Organized Health Care Education/Training Program | 630 W 168th St, New York, NY 10032-3725 | 2020-08-19 |
| 1821600214 | Kirsten Michele Gutlay | Nurse Practitioner | 630 W 168th St, New York, NY 10032-3725 | 2020-08-18 |
| 1356950323 | Emily Russo | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-07-27 |
| 1780202853 | Cassandra Caroline Johnson | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-07-06 |
| 1831715572 | Nicole Marie Monnecka | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927624 | Victor Yin Yu Lee | Dentist | 130 Fort Washington Ave Ofc 1b, New York, NY 10032-4724 | 2020-09-19 |
| 1972111441 | Lex Prosthodontics, Pllc | Dentist | 185 E 85th St Ofc 2, New York, NY 10028-2191 | 2020-07-21 |
| 1437767936 | Gramercy Prosthodontics, Pllc | Dentist | 130 E 18th St Ofc 1m, New York, NY 10003-2400 | 2020-07-21 |
| 1073031506 | Rhugielyn Mangaoang | Dentist | 51 W 51st St Ste 350, New York, NY 10019 | 2017-09-05 |
| 1811412174 | Allen & Schwarz Dental Pllc | Dentist | 30 Central Park S Rm 10b, New York, NY 10019-1628 | 2017-08-08 |
| 1912357203 | Shari Ginsburg | Dentist | 1175 Park Ave Ste 1b, New York, NY 10128-1211 | 2016-06-16 |
| 1366827677 | Darya Luchinskaya | Dentist | 150 E 58th St Ste 3200, New York, NY 10155-3299 | 2015-07-28 |
| 1831486265 | Christian Fj Stappert | Dentist | 421 First Avenue, New York, NY 10010-9218 | 2011-07-06 |
| 1043503949 | Arch Dental Associates | Dentist | 3 Washington Square Vlg, Suite 1b/d, New York, NY 10012-1836 | 2011-05-25 |
| 1841582160 | Happy Smiles Dental Group | Dentist | 420 E 64th St Apt W3f, New York, NY 10065-7862 | 2011-05-04 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.