NPIMap

Organization Active NPI

Xiang Ning Han DDS Dental Corporation

  • General Practice Dentistry
  • Montclair, CA
National Provider Identifier
1821188277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48459 Issued in CA
Legal business name
XIANG NING HAN DDS DENTAL CORPORATION
Practice address
4439 E Mission Blvd
# E
Montclair, CA 91763-6067
Phone
(909) 627-5856
Fax
(909) 627-5269
NPI assigned
Oct 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Xiang Ning Han, DDSNPI 1619175452
Title
President
Phone
(909) 627-5856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 48459 CA Primary

Addresses

Primary practice location

4439 E Mission Blvd
# E
Montclair, CA 91763-6067

Mailing address

4439 E Mission Blvd
# E
Montclair, CA 91763-6067
Phone (909) 627-5856

Other identifiers 2

IdentifierTypeStateIssuer
48459CAOtherCADELTA DENTAL
B4845901OtherCAHEALTHY FAMILIES

National Provider Directory

National Provider Directory
Tax ID family
Xiang Ning Han DDS Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821188277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 E MISSION BLVD",
            "address_2": "# 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 E MISSION BLVD",
            "address_2": "# E",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917636067",
            "telephone_number": "909-627-5856",
            "fax_number": "909-627-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIANG NING HAN DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "XIANG NING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-627-5856",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "48459CA",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILIES",
            "identifier": "B4845901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.