NPIMap

Organization Active NPI

Han K.Tak,D.D.S. a Professional Corporation

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1235309550
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50000 Issued in CA
Legal business name
HAN K.TAK,D.D.S. A PROFESSIONAL CORPORATION
Practice address
607 W 6TH St
Los Angeles, CA 90017-3201
Phone
(213) 624-6482
Fax
(213) 624-6483
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Dr. Han Kyung Tak, D.D.S.NPI 1205987559
Title
President
Phone
(213) 440-0160

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 50000 CA Primary

Addresses

Primary practice location

607 W 6TH St
Los Angeles, CA 90017-3201

Mailing address

607 W 6TH St
Los Angeles, CA 90017-3201
Phone (213) 624-6482

Other names 1

  • Dental Arts Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

607 W 6th St
Los Angeles, CA 90017
Phone (213) 624-6482

Practitioners & affiliated clinicians

Practitioners 2

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": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1235309550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173201",
            "telephone_number": "213-624-6482",
            "fax_number": "213-624-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173201",
            "telephone_number": "213-624-6482",
            "fax_number": "213-624-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN K.TAK,D.D.S. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "TAK",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "KYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-440-0160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Arts Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.