Irene Han, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

6530 Issued in NV

Practice address

4250 S Rainbow Blvd Ste 1004
Las Vegas, NV 89103-3134

Phone

(702) 456-4600

Fax

(702) 456-3600

NPI assigned

Jan 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• One Dental Group LLC

  dba Paradise Village Dental Center

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1982373957
  NPD Authorized official
• Absolute Dental Eastern, Inc

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1134218910
  NPD (past)
• Southern Nevada Specialty Prada, PLLC

  dba Absolute Dental & Orthodontics

  • Pediatric Dentistry
  • Las Vegas, NV
  • NPI 1275998270
  NPD (past)

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1639569064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 S RAINBOW BLVD STE 1004",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033134",
            "telephone_number": "702-456-4600",
            "fax_number": "702-456-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 S RAINBOW BLVD STE 1004",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033134",
            "telephone_number": "702-456-4600",
            "fax_number": "702-456-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6530",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archer Han, PHARMD
• Daehyun Han
• Dylan Dinh Han
• Hui Jeong Han
• In Man Han
• James Yin Han, MD
• Matthew Han
• Melissa Han, APRN
• Mi Chong Han
• Nicholas Han, MD

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.