Individual provider Active NPI

Han Hoac, DMD

  • Dentist
  • Laveen, AZ
National Provider Identifier
1437718194
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010369 Issued in AZ
Practice address
17487 S Healthcare Dr
Laveen, AZ 85339-8500
Phone
(520) 562-3321
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D010369 AZ Primary

Addresses

Primary practice location

17487 S Healthcare Dr
Laveen, AZ 85339-8500

Mailing address

17487 S. Health Care Dr.
KHC Dental
Laveen, AZ 85339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190906000598 TX Practitioner - Dentist 6901135664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation CurrentSince Jul 15, 2019 Accepting new patients
Gila River Health Care CurrentSince Jul 15, 2019 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients

Locations

3042 W Queen Creek Rd
Chandler, AZ 85248
Phone (520) 796-2600

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

48203 W Farrell Rd
Maricopa, AZ 85139
Phone (520) 568-3881

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1437718194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17487 S. HEALTH CARE DR.",
            "address_2": "KHC DENTAL",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "85339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17487 S HEALTHCARE DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853398500",
            "telephone_number": "520-562-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAC",
        "first_name": "HAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.