Active NPI
John Han
- Dentist
- Reston, VA
National Provider Identifier
1578052288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- JOHN HAN
- Practice address
- 11515 Sunrise Valley Dr
Reston, VA 20191-1505 - Phone
- (703) 757-6453
- Fax
- (800) 349-5255
- NPI assigned
- May 8, 2018
- Last updated
- May 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Han
- Title
- Doctor
- Phone
- (703) 757-6453
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
11515 Sunrise Valley Dr
Reston, VA 20191-1505
Mailing address
11515 Sunrise Valley Dr
Reston, VA 20191-1505
Phone (703) 757-6453
National Provider Directory
National Provider DirectoryLocations
11515 Sunrise Valley Dr
Reston, VA 20191
Phone (703) 592-9116
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Reston, VA
- NPI 1114087038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525737600000",
"number": "1578052288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11515 SUNRISE VALLEY DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201911505",
"telephone_number": "703-757-6453",
"fax_number": "800-349-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11515 SUNRISE VALLEY DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201911505",
"telephone_number": "703-757-6453",
"fax_number": "800-349-5255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN HAN",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-08",
"last_updated": "2018-05-08",
"status": "A",
"authorized_official_last_name": "HAN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "703-757-6453"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.