DR. YUNG HAN NAM DDS
NPI 1407247455
Dentist in Kenai, AK

Q: What is Yung Nam's NPI number?

The NPI number for Yung Nam is 1407247455. It was assigned to this individual provider in the NPPES registry on February 12, 2015.

Q: What is Yung Nam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Yung Nam was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2015PECOS Enrolled

36892 MALLARD RD, KENAI, AK 99611(907) 283-9210(907) 283-3184 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Yung Han Nam Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. YUNG HAN NAM DDS (NPI 1407247455) is an individual dentist in Kenai, Alaska, licensed in California (37463) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kodiak.

NPPES Registry Identity

NPI1407247455

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. YUNG HAN NAMCredential: DDS

Location Address36892 MALLARD RDKenai, AK 99611-6434

Mailing Address36892 Mallard RdKenai, AK 99611-6434 · (907) 283-9210 · Fax (907) 283-3184

Phone(907) 283-9210

Fax(907) 283-3184

Sole ProprietorYes

Enumeration DateFebruary 12, 2015

Last NPPES UpdateJuly 30, 2020

NPPES CertifiedJuly 30, 2020

✔ NPI 1407247455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 37463

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

36892 MALLARD RD, Kenai, AK 99611

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Secondary Practice Location 1

Location 11911 Rezanof Dr EKodiak, AK 99615-6602 · Phone (907) 481-5000 · Fax (907) 481-5030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Yung Han Nam Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$90.40 typical visit price

range $21.84 – $181.48

Typical copayment $22.60 (range $5.46 – $45.37)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHHOUSE DENTAL, LLC

Clinic/Center (Dental)

36892 MALLARD RD
KENAI, AK 99611

Kenai Peninsula Borough (900) 728-3921

K-BEACH DENTAL GROUP

Clinic/Center (Dental)

36892 MALLARD RD
KENAI, AK 99611

Kenai Peninsula Borough (907) 283-9210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yung Nam's NPI number?

The NPI number for Yung Nam is 1407247455. It was assigned to this individual provider in the NPPES registry on February 12, 2015.

Where is Yung Nam located?

Yung Nam practices at 36892 Mallard Rd, Kenai, AK 99611. The listed phone number is (907) 283-9210.

What is Yung Nam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Yung Nam enrolled in Medicare?

Yes. Yung Nam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yung Nam was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.