Organization Active NPI

Han, Rose and Rhoten, PLLC

Doing business as Clearwater Dental

  • Dental Clinic/Center
  • Kennewick, WA
National Provider Identifier
1013153469
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Jerry C Han, DDSNPI 1891867875
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X
Oral Medicine DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0021156OtherWAL & I
1104231497OtherWADR ROSE NPI
1104231497OtherWADR. ROSE NPI
1962992834OtherWADR. ELLINGSEN NPI
DE60478319OtherWADR ROSE
DE60861720OtherWADR. RHOTEN STATE LICENSE
DE00008483OtherWASTATE DENTAL LICENSE-HAN
DE61273804OtherWADR. ELLINGSEN LICENSE
DE61233590OtherWADR. BEEBE LICENSE
1093201824OtherWADR. RHOTEN NPI
1891867875OtherWANPI DR HAN
1992223010OtherWADR. BEEBE NPI

Other names 1

  • Clearwater Dental Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.