Derek Aung Min, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

44217 Issued in CA

Practice address

891 E Arrow Hwy
Suite B
Azusa, CA 91702

Phone

(626) 332-4788

Fax

(626) 332-5388

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Theo Myint Han DDS Inc

  • Dental Clinic/Center
  • Azusa, CA
  • NPI 1467172817
  NPD (past)
• Theo Myint Han DDS Inc

  • General Practice Dentistry
  • Azusa, CA
  • NPI 1609582519
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447319900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 E ARROW HWY",
            "address_2": "SUITE B",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "91702",
            "telephone_number": "626-332-4788",
            "fax_number": "626-332-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 E ARROW HWY",
            "address_2": "SUITE B",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "91702",
            "telephone_number": "626-332-4788",
            "fax_number": "626-332-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "DEREK",
        "middle_name": "AUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Mendoza
• Emery Menter
• Larry Merritt III, RADT
• Hannah Metz
• Michael Morris OD a Professional Corporation (EyeCare Associates Optometric Group)
• Jamilla Monegain, DDS
• Kennisha Montgomery
• Walter Willis Montgomery
• Jazmine Montoya, HIGH SCHOOL DIPLOMA
• Colleen Anne Montz, FNP

• Dentist in Azusa, CA
• Providers in Azusa, CA by specialty
• Dentist in California

• 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.

Verify at the official NPI Registry.