John C Han DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

45263 Issued in CA

Legal business name

JOHN C HAN DDS INC

Doing business as

preferred dental

Practice address

1895 Orange Tree LN
103
Redlands, CA 92374-0111

Phone

(909) 885-4848

Fax

(909) 435-0511

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. John C Han, DDS

Title

Dentist/Owner

Phone

(909) 885-4848

Specialties & licenses 2

Addresses

Other names 1

• preferred dental Doing business as

Locations

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1467999250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 ORANGE TREE LN",
            "address_2": "103",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740111",
            "telephone_number": "909-885-4848",
            "fax_number": "909-435-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 ORANGE TREE LN",
            "address_2": "103",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740111",
            "telephone_number": "909-885-4848",
            "fax_number": "909-435-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C HAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "909-885-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45263",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "45263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "preferred dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.