Hanjun Guan DMD PHD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HANJUN GUAN DMD PHD LLC

Practice address

2204 S Taylor Rd
Cleveland Heights, OH 44118-3007

Phone

(216) 321-3462

NPI assigned

May 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Hanjun Guan, DMD PHDNPI 1497248736

Title

Owner

Phone

(859) 361-4032

Specialties & licenses 1

Addresses

Other names 1

• Cleveland Family & Implant Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hanjun Guan

  • Oral and Maxillofacial Surgery (Dentist)
  • Cleveland Heights, OH
  • NPI 1497248736
  Medicare reassignment NPD Authorized official
• Leonard Alonzo Russell, DDS

  • General Practice Dentistry
  • Cleveland Heights, OH
  • NPI 1205056306
  NPD (past)

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620432000000",
    "number": "1366026155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S TAYLOR RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183007",
            "telephone_number": "216-321-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S TAYLOR RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183007",
            "telephone_number": "216-321-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANJUN GUAN DMD PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-08",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A",
        "authorized_official_last_name": "GUAN",
        "authorized_official_first_name": "HANJUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-361-4032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Family & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannetta Hall
• Toni Marlise Hall
• Cecelia Lynn Hamilton, M.D.
• Hands of God- by Von
• Mariah Marie Haney, MEDICAL ASSISTANT
• Makenzie Hanlin, BCBA
• Harborcare
• Harold M. Jones D.P.M. Inc
• James Anthony Harper
• Aatika N Harris, RN

• Dental Clinic/Center in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.