Xiang Ning Han, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48459 Issued in CA

Practice address

4439 Mission Blvd
Unit E
Montclair, CA 91763-6067

Phone

(909) 627-5856

Fax

(909) 627-5269

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1619175452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 MISSION BLVD",
            "address_2": "UNIT E",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917636067",
            "telephone_number": "909-627-5856",
            "fax_number": "909-627-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 MISSION BLVD",
            "address_2": "UNIT E",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917636067",
            "telephone_number": "909-627-5856",
            "fax_number": "909-627-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "XIANG NING",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Haley Haley
• Emily Hampton
• Hannah Nicole Hampton
• Samantha Hampton, BA
• Kinana Hamwi
• Cynthia Hankins
• Steven Anthony Hanson
• Tacita Hargrove
• Xinyue Harkless, RD
• Harmony Healthcare

• General Practice Dentistry in Montclair, CA
• Providers in Montclair, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.