Organization Active NPI

Caitlin C. Han, DMD, LLC

  • Dental Clinic/Center
  • Lake Oswego, OR
National Provider Identifier
1699203513
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8962 Issued in OR
Legal business name
CAITLIN C. HAN, DMD, LLC
Doing business as
Tryon Creek Family Dentistry
Practice address
601 1St St Ste E
Lake Oswego, OR 97034-2370
Phone
(503) 636-2300
NPI assigned
May 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Caitlin Chanh Han, DMD
Title
Dentist
Phone
(503) 636-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8962 OR Primary

Addresses

Primary practice location

601 1St St Ste E
Lake Oswego, OR 97034-2370

Mailing address

601 1St St Ste E
Lake Oswego, OR 97034-2370
Phone (503) 636-2300

Other names 1

  • Tryon Creek Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

601 1st St
Ste E
Lake Oswego, OR 97034
Phone (503) 636-2300

Practitioners & affiliated clinicians

Practitioners 1

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": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699203513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 1ST ST STE E",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342370",
            "telephone_number": "503-636-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 1ST ST STE E",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342370",
            "telephone_number": "503-636-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAITLIN C. HAN, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "CHANH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-636-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tryon Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.