Active NPI
Sok Woong Daniel Han, D.M.D.
- Dentist
- MC Lean, VA
National Provider Identifier
1023314333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401413303
- Practice address
- 6845 Elm St
450
MC Lean, VA 22101-6007 - Phone
- (703) 356-7001
- NPI assigned
- Feb 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037297 | PA | |
| Periodontics | 1223P0300X | 0401413301 | VA | |
| Periodontics | 1223P0300X | 14934 | MD | |
| Dentist | 122300000X | 0401413303 | VA | Primary |
| Periodontics | 1223P0300X | DS037297 | PA | |
| Dentist | 122300000X | 14934 | MD |
Addresses
Primary practice location
6845 Elm St
450
MC Lean, VA 22101-6007
Mailing address
6845 Elm St
450
MC Lean, VA 22101-6007
Phone (703) 356-7001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413301 | VA | MD | Dentist |
| 0401413303 | VA | MD | Dentist |
| 14934 | MD | MD | Periodontist |
| DS037297 | PA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1023314333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6845 ELM ST",
"address_2": "450",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221016007",
"telephone_number": "703-356-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6845 ELM ST",
"address_2": "450",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221016007",
"telephone_number": "703-356-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "SOK WOONG",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-03",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037297",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401413301",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "14934",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413303",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS037297",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.