NPIMap

Organization Active NPI

Thomas D. Han DMD, a Professional Corporation

  • Dental Clinic/Center
  • Anaheim, CA
National Provider Identifier
1376954412
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
52393 Issued in CA
Legal business name
THOMAS D. HAN DMD, A PROFESSIONAL CORPORATION
Practice address
2940 W Lincoln Ave
Ste L
Anaheim, CA 92801-6294
Phone
(714) 995-4000
Fax
(714) 995-9022
NPI assigned
May 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Dr. Thomas HanNPI 1467671693
Title
Owner
Phone
(714) 995-4000

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
Dental Clinic/Center 261QD0000X 52393 CA Primary

Addresses

Primary practice location

2940 W Lincoln Ave
Ste L
Anaheim, CA 92801-6294

Mailing address

2940 W Lincoln Ave
Ste L
Anaheim, CA 92801-6294
Phone (714) 995-4000

Other names 1

  • Beach Dental Care Other name

National Provider Directory

National Provider Directory

Locations

2940 W Lincoln Ave
Ste L
Anaheim, CA 92801
Phone (714) 995-4000

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": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1376954412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 W LINCOLN AVE",
            "address_2": "STE L",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016294",
            "telephone_number": "714-995-4000",
            "fax_number": "714-995-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 W LINCOLN AVE",
            "address_2": "STE L",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016294",
            "telephone_number": "714-995-4000",
            "fax_number": "714-995-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D. HAN DMD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-995-4000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "52393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Dental Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Beach Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.