Individual provider Active NPI

Julie Han, DDS

  • Dentist
  • Deerfield Beach, FL
National Provider Identifier
1558290593
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN30693 Issued in FL
Practice address
313 SE 15TH Ter
Deerfield Beach, FL 33441-4472
Phone
(949) 310-3203
NPI assigned
May 15, 2026
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS110554 CA
Dentist 122300000X DN30693 FL Primary

Addresses

Primary practice location

313 SE 15TH Ter
Deerfield Beach, FL 33441-4472

Mailing address

7020 Nova Dr Apt 309
Davie, FL 33317-9201
Phone (949) 310-3203

Other practice location 1

9690 Glades Rd Unit 430
Boca Raton, FL 33434-3978
Phone (949) 310-3203

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS110554CAMDDentist
DN30693FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1558290593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 NOVA DR APT 309",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333179201",
            "telephone_number": "949-310-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SE 15TH TER",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414472",
            "telephone_number": "949-310-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9690 Glades Rd Unit 430",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334343978",
            "country_code": "US",
            "telephone_number": "949-310-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "JULIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS110554",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.