Organization Active NPI

Van a. Han DMD LLC

  • General Practice Dentistry
  • Oregon City, OR
National Provider Identifier
1457749632
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8959 Issued in OR
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

Updated by the provider on Dec 23, 2014

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.