Active NPI
Han, Rose and Rhoten, PLLC
Doing business as Clearwater Dental
- Dental Clinic/Center
- Kennewick, WA
National Provider Identifier
1013153469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- HAN, ROSE AND RHOTEN, PLLC
- Doing business as
- Clearwater Dental
- Practice address
- 5000 W. Clearwater Ave.
Kennewick, WA 99336-1964 - Phone
- (509) 783-5000
- NPI assigned
- Jan 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry C Han, DDS
- Title
- Owner Partner
- Phone
- (509) 783-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | |||
| Oral Medicine Dentistry | 125Q00000X | |||
| Dental Clinic/Center | 261QD0000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
5000 W. Clearwater Ave.
Kennewick, WA 99336-1964
Mailing address
5000 W Clearwater Ave
Kennewick, WA 99336-1910
Phone (509) 783-5000
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021156 | Other | WA | L & I |
| 1104231497 | Other | WA | DR ROSE NPI |
| 1104231497 | Other | WA | DR. ROSE NPI |
| 1962992834 | Other | WA | DR. ELLINGSEN NPI |
| DE60478319 | Other | WA | DR ROSE |
| DE60861720 | Other | WA | DR. RHOTEN STATE LICENSE |
| DE00008483 | Other | WA | STATE DENTAL LICENSE-HAN |
| DE61273804 | Other | WA | DR. ELLINGSEN LICENSE |
| DE61233590 | Other | WA | DR. BEEBE LICENSE |
| 1093201824 | Other | WA | DR. RHOTEN NPI |
| 1891867875 | Other | WA | NPI DR HAN |
| 1992223010 | Other | WA | DR. BEEBE NPI |
Other names 1
- Clearwater Dental
National Provider Directory
National Provider DirectoryLocations
5000 W Clearwater Ave
Kennewick, WA 99336
Phone (509) 783-5000
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Kennewick, WA
- NPI 1891867875
-
- General Practice Dentistry
- Kennewick, WA
- NPI 1902978067
-
- Dental Assistant
- Kennewick, WA
- NPI 1538238779
-
- Dentist
- Kennewick, WA
- NPI 1780868471
-
- General Practice Dentistry
- Kennewick, WA
- NPI 1093201824
-
- Dentist
- Kennewick, WA
- NPI 1104231497
-
- Dentist
- Kennewick, WA
- NPI 1215241567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786060800000",
"number": "1013153469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361910",
"telephone_number": "509-783-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W. CLEARWATER AVE.",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361964",
"telephone_number": "509-783-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAN, ROSE AND RHOTEN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-06",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A",
"authorized_official_last_name": "HAN",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER PARTNER",
"authorized_official_telephone_number": "509-783-5000",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
},
{
"code": "125Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0021156",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR ROSE NPI",
"identifier": "1104231497",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. ROSE NPI",
"identifier": "1104231497",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. ELLINGSEN NPI",
"identifier": "1962992834",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR ROSE",
"identifier": "DE60478319",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. RHOTEN STATE LICENSE",
"identifier": "DE60861720",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE-HAN",
"identifier": "DE00008483",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. ELLINGSEN LICENSE",
"identifier": "DE61273804",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. BEEBE LICENSE",
"identifier": "DE61233590",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. RHOTEN NPI",
"identifier": "1093201824",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI DR HAN",
"identifier": "1891867875",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. BEEBE NPI",
"identifier": "1992223010",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clearwater Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.