Han Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42322 Issued in CA

Legal business name

HAN PROFESSIONAL DENTAL CORPORATION

Practice address

14785 Jeffrey Rd
Ste 200
Irvine, CA 92618-0408

Phone

(949) 502-6406

Fax

(949) 502-6407

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grace S Han, D.M.D.NPI 1275693228

Title

President

Phone

(949) 502-6406

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grace S Han, D.M.D.

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1275693228
  NPD (past) Authorized official

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1336691195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50223",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926190223",
            "telephone_number": "949-502-6406",
            "fax_number": "949-502-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 JEFFREY RD",
            "address_2": "STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180408",
            "telephone_number": "949-502-6406",
            "fax_number": "949-502-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-502-6406",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Hammond
• Mimad Hammoudeh
• Nahid Hamoui, MD
• Larry Gene Hampsten, DDS
• Han Medical Services
• Han Sam Corp (River's Edge Specialty Pharmacy)
• Han Sam Corp (River's Edge Specialty Pharmacy)
• Ashley Haein Han, BCBA
• Bokyung Han, DDS
• Caroline Han, LAC

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.