HYUN WOOK NAM D.M.D.
NPI 1972058964
Dentist - Pediatric Dentistry in Jurupa Valley, CA

Q: What is Hyun Nam's NPI number?

The NPI number for Hyun Nam is 1972058964. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Q: What is Hyun Nam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: Is Hyun Nam enrolled in Medicare?

No. Hyun Nam has opted out of Medicare through June 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Hyun Nam was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 18, 2016Opted out of Medicare · through Jun 14, 2027

6445 PATS RANCH RD STE F, JURUPA VALLEY, CA 91752(951) 228-9328 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2016, Aug 18, 2016 (2 updates tracked since 2016).

On this page

About Hyun Wook Nam D.m.d. NPPES

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

HYUN WOOK NAM D.M.D. (NPI 1972058964) is an individual pediatric dentistry provider in Jurupa Valley, California, licensed in California (109492) and active in the NPI registry since August 2016. He has opted out of Medicare through June 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972058964

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameHYUN WOOK NAMCredential: D.M.D.

Location Address6445 PATS RANCH RD STE FJurupa Valley, CA 91752-4439

Mailing Address5701 Park Dr Unit 9306Chino Hills, CA 91709-4958

Phone(951) 228-9328

Sole ProprietorNo

Enumeration DateAugust 18, 2016

Last NPPES UpdateFebruary 15, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2024

✔ NPI 1972058964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 109492

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 32227 (TX)

6445 PATS RANCH RD STE F, Jurupa Valley, CA 91752

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Hyun Wook Nam D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 14, 2017 through June 14, 2027.

Opt-Out Effective DateJune 14, 2017

Opt-Out In Effect ThroughJune 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91752 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

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 Hyun Nam's NPI number?

The NPI number for Hyun Nam is 1972058964. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Where is Hyun Nam located?

Hyun Nam practices at 6445 Pats Ranch Rd Ste F, Jurupa Valley, CA 91752. The listed phone number is (951) 228-9328.

What is Hyun Nam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Hyun Nam enrolled in Medicare?

No. Hyun Nam has opted out of Medicare through June 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Hyun Nam accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Hyun Nam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hyun Nam was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.