NPIMap

Organization Active NPI

Theo Myint Han DDS Inc

  • General Practice Dentistry
  • Azusa, CA
National Provider Identifier
1609582519
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THEO MYINT HAN DDS INC
Practice address
891 E Arrow Hwy Ste B
Azusa, CA 91702-5868
Phone
(626) 332-4788
Fax
(626) 332-5388
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Theo Myint HanNPI 1861649790
Title
President
Phone
(626) 332-4788

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

891 E Arrow Hwy Ste B
Azusa, CA 91702-5868

Mailing address

891 E Arrow Hwy Ste B
Azusa, CA 91702-5868
Phone (626) 332-4788

Other names 1

  • APPLE DENTAL Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1609582519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 E ARROW HWY STE B",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025868",
            "telephone_number": "626-332-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 E ARROW HWY STE B",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025868",
            "telephone_number": "626-332-4788",
            "fax_number": "626-332-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEO MYINT HAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "THEO",
        "authorized_official_middle_name": "MYINT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-332-4788"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLE DENTAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.