Individual provider Active NPI

David Han, DDS

  • General Practice Dentistry
  • Leesburg, VA
National Provider Identifier
1073256004
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401417969 Issued in VA
Practice address
706 S King St Ste 5
Leesburg, VA 20175-3918
Phone
(703) 771-8500
NPI assigned
Apr 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401417969 VA Primary

Addresses

Primary practice location

706 S King St Ste 5
Leesburg, VA 20175-3918

Mailing address

115 Sheffield LN
Yorktown, VA 23693-2812
Phone (757) 945-6781

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

LicenseStateTypeSpecialty
0401417969VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Welstead & Rosinski LLC Dba the Leesburg Dentists CurrentSince Jul 31, 2023 Accepting new patients
Fuller & Spencer Fuller, PC General Practice PastSince Jul 31, 2023 Accepting new patients

Locations

706 S King St
Ste 5
Leesburg, VA 20175
Phone (703) 771-8500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1073256004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SHEFFIELD LN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236932812",
            "telephone_number": "757-945-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S KING ST STE 5",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753918",
            "telephone_number": "703-771-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-18",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.