Edison S. Han, D.D.S., Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

48608 Issued in CA

Legal business name

EDISON S. HAN, D.D.S., INC

Practice address

153 W College St
Covina, CA 91723-2008

Phone

(626) 339-9085

NPI assigned

May 31, 2007

Last updated

Dec 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edison S Han, D.D.S.NPI 1639235245

Title

President, Dentist

Phone

(213) 393-6567

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edison S Han, D.D.S.

  • General Practice Dentistry
  • Covina, CA
  • NPI 1639235245
  NPD (past) Authorized official
• Marilisa Elizabetta Toro, DDS

  • Dentist
  • Riverside, CA
  • NPI 1659025823
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1457552788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232008",
            "telephone_number": "626-339-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232008",
            "telephone_number": "626-339-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON S. HAN, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "EDISON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT, DENTIST",
        "authorized_official_telephone_number": "213-393-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL BILLING ID",
            "identifier": "G93075-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jakai Edmond
• Edward G. Stokes, M.D., Inc.
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• Antonio Edwards
• Erica Nicole Edwards, NP

• Dental Clinic/Center in Covina, CA
• Providers in Covina, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.