Tingting Jackie Han, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56436 Issued in CA

Practice address

5500 Telegraph Rd Ste 151
Ventura, CA 93003-4205

Phone

(805) 256-7125

NPI assigned

May 21, 2008

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Shyam Krishnan DDS a Professional Dental Organization

  • Dental Clinic/Center
  • Ventura, CA
  • NPI 1770491573
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1669639035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 TELEGRAPH RD STE 151",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034205",
            "telephone_number": "805-256-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 TELEGRAPH RD STE 151",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034205",
            "telephone_number": "805-256-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "TINGTING",
        "middle_name": "JACKIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Elizabeth Hamilton
• Christina Rae Hammel, RN
• Olga Hamra
• Alec Michael Hamrick
• Susie Han, RN, PHN
• Hand in Heart Home Health Inc
• Kathleen Tomo Handlers, D.D.S.
• John A Handley III, MD
• Hands in Motion LLC
• Nichole Handy, RBT

• General Practice Dentistry in Ventura, CA
• Providers in Ventura, 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 Jan 12, 2022; 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.