Individual provider Active NPI

Aileen Han, D.D.S.

  • Dentist
  • Rincon, GA
National Provider Identifier
1407205818
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN30067 Issued in FL
Practice address
201 Business Park Dr Ste 101
Rincon, GA 31326-5584
Phone
(912) 826-2273
NPI assigned
Jun 7, 2016
Last updated
Jul 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857179 MA
Dentist 122300000X DN30067 FL Primary

Addresses

Primary practice location

201 Business Park Dr Ste 101
Rincon, GA 31326-5584

Mailing address

511 Kendal CT
Savannah, GA 31419-7008
Phone (515) 326-1000

Other practice location 1

3123 S Orange Ave # 107
Orlando, FL 32806-6121
Phone (407) 392-1521

Other names 1

  • Aileen Woo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191205001782 GA Order and Referring Only - DentistPractitioner - Dentist 3678906690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN30067FLMDDentist
DN1857179MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1407205818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 KENDAL CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314197008",
            "telephone_number": "515-326-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BUSINESS PARK DR STE 101",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265584",
            "telephone_number": "912-826-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3123 S Orange Ave # 107",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328066121",
            "country_code": "US",
            "telephone_number": "407-392-1521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "AILEEN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857179",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AILEEN",
            "last_name": "WOO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rincon, GA

Sources for this page

Verify at the official NPI Registry.