Ji Youn Han, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28971 Issued in TX

Practice address

391 Las Colinas Blvd E Ste 130 - 2048
Irving, TX 75039-6291

Phone

(832) 652-1942

NPI assigned

Jul 16, 2013

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Bird Dental, PLLC

  dba Homestead Family Dental

  • General Practice Dentistry
  • Houston, TX
  • NPI 1780845016
  NPD (past)

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1477994622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 LAS COLINAS BLVD E STE 130 - 2048",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750396291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 LAS COLINAS BLVD E STE 130 - 2048",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750396291",
            "telephone_number": "832-652-1942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9009 Bruton Rd Ste 435",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752172071",
            "country_code": "US",
            "telephone_number": "214-275-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Homestead Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770282149",
            "country_code": "US",
            "telephone_number": "713-631-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 California St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770062602",
            "country_code": "US",
            "telephone_number": "832-548-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "JI YOUN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "3244113",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Hammer, O.T.
• Dana Leann Hammonds, COTA/L
• Madison Paige Hammonds
• Canella Kelly Hammons, NURSE PRACTITIONER
• Tiffanie Ann Hampton, LCSW
• Michelle Miyeon-Hwang Han, M.D.
• Hanan Fahmy, MD, PA
• Mary Beth Hancock, D/OTR
• Hands of Choice Massage & Wellness, LLC
• Amy Lynn Hansen

• General Practice Dentistry in Irving, TX
• Providers in Irving, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.