Active NPI
Jason Han, D.D.S
- Dentist
- Spokane Valley, WA
National Provider Identifier
1508313339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60682744
- Practice address
- 15810 E Indiana Ave
Spokane Valley, WA 99216-1864 - Phone
- (909) 693-0056
- NPI assigned
- Sep 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60682744 | WA | Primary |
Addresses
Primary practice location
15810 E Indiana Ave
Spokane Valley, WA 99216-1864
Mailing address
3284 N Belmont Rd
Coeur D Alene, ID 83815-0433
Phone (909) 693-0056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60682744 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1508313339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3284 N BELMONT RD",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838150433",
"telephone_number": "909-693-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15810 E INDIANA AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161864",
"telephone_number": "909-693-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "JASON",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60682744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.