NPIMap

Organization Active NPI

Injoo Han,D.D.S.,Inc.

Doing business as Preventive Dental Care Center

  • Preferred Provider Organization
  • Placerville, CA
National Provider Identifier
1649470519
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
48283 Issued in CA
Legal business name
INJOO HAN,D.D.S.,INC.
Doing business as
Preventive Dental Care Center
Practice address
4355 Golden Center Dr
Suite a
Placerville, CA 95667-6260
Phone
(530) 622-3430
Fax
(530) 622-9733
NPI assigned
Jul 19, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Injoo Han, D.D.S.NPI 1023022811
Title
Owner Ceo
Phone
(530) 622-3430

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
Preferred Provider Organization 305R00000X 48283 CA Primary

Addresses

Primary practice location

4355 Golden Center Dr
Suite a
Placerville, CA 95667-6260

Mailing address

4355 Golden Center Dr
Suite a
Placerville, CA 95667-6260
Phone (530) 622-3430

Other names 1

  • Preventive Dental Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

4355 Golden Center Dr
Ste A
Placerville, CA 95667
Phone (530) 622-3430

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1649470519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 GOLDEN CENTER DR",
            "address_2": "SUITE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676260",
            "telephone_number": "530-622-3430",
            "fax_number": "530-622-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 GOLDEN CENTER DR",
            "address_2": "SUITE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676260",
            "telephone_number": "530-622-3430",
            "fax_number": "530-622-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJOO HAN,D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "INJOO",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "530-622-3430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "48283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preventive Dental Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.