Active NPI
Terry G. Han, DDS
- Endodontics
- Fremont, CA
National Provider Identifier
1427157916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 51257
- Practice address
- 39572 Stevenson PL
Suite 121
Fremont, CA 94539-3075 - Phone
- (510) 794-6600
- Fax
- (510) 794-1525
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 51257 | CA | Primary |
Addresses
Primary practice location
39572 Stevenson PL
Suite 121
Fremont, CA 94539-3075
Mailing address
39572 Stevenson PL
Suite 121
Fremont, CA 94539-3075
Phone (510) 794-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161112000413 | CA | Order and Referring Only - Other (Non-Physician) | 0042599136 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Hills Endodontics, a Dental Practice | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endodontics
- Fremont, CA
- NPI 1922106368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427157916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39572 STEVENSON PL",
"address_2": "SUITE 121",
"city": "FREMONT",
"state": "CA",
"postal_code": "945393075",
"telephone_number": "510-794-6600",
"fax_number": "510-794-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39572 STEVENSON PL",
"address_2": "SUITE 121",
"city": "FREMONT",
"state": "CA",
"postal_code": "945393075",
"telephone_number": "510-794-6600",
"fax_number": "510-794-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "TERRY",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "51257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
- Ginger Hamilton
- Nia Dekeisha Hamilton, LCSW
- Shelley Yvette Hamilton, LCSW
- Danielle Hamlett
- Shaheena Hamza
- Qun Hang
- Hanger Prosthetics & Orthotics West, Inc. (Hanger Clinic)
- Hanh Nguyen DO MD a Medical Corporation
- Chiara Matelli Hanna, PPS
- Hans Freericks Chiropractic Corporation (Discover Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.