Active NPI
Van a. Han DMD LLC
- General Practice Dentistry
- Oregon City, OR
National Provider Identifier
1457749632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D8959
- Legal business name
- VAN A. HAN DMD LLC
- Practice address
- 601 Center St
Oregon City, OR 97045-2253 - Phone
- (503) 656-1905
- Fax
- (503) 656-9680
- NPI assigned
- Dec 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Van Ai Han, DMD
- Title
- Dentist
- Phone
- (503) 866-6242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8959 | OR | Primary |
Addresses
Primary practice location
601 Center St
Oregon City, OR 97045-2253
Mailing address
11000 SE Lenore St
Happy Valley, OR 97086-8790
Phone (503) 866-6242
Other names 1
- Radiant Family Dentistry
National Provider Directory
National Provider DirectoryLocations
601 Center St
Oregon City, OR 97045
Phone (503) 656-1905
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Oregon City, OR
- NPI 1326189424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419292800000",
"number": "1457749632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11000 SE LENORE ST",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970868790",
"telephone_number": "503-866-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CENTER ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452253",
"telephone_number": "503-656-1905",
"fax_number": "503-656-9680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN A. HAN DMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-23",
"last_updated": "2014-12-23",
"status": "A",
"authorized_official_last_name": "HAN",
"authorized_official_first_name": "VAN",
"authorized_official_middle_name": "AI",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "503-866-6242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D8959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Radiant Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.