Active NPI
Seung Whan Han
- Dentist
- Springfield, MA
National Provider Identifier
1104597251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859490
- Practice address
- 555 State St
Springfield, MA 01109-4140 - Phone
- (516) 697-6108
- NPI assigned
- Sep 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859490 | MA | Primary |
Addresses
Primary practice location
555 State St
Springfield, MA 01109-4140
Mailing address
401 E 34TH St Apt S10D
New York, NY 10016-0454
Phone (516) 697-6108
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 |
|---|---|---|---|
| DN1859490 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1104597251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 34TH ST APT S10D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160454",
"telephone_number": "516-697-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 STATE ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011094140",
"telephone_number": "516-697-6108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "SEUNG",
"middle_name": "WHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-27",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.