Victor Han, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410176 Issued in VA

Practice address

43150 Broadlands Center Plaza
Suite #158
Broadlands, VA 20148

Phone

(703) 726-1600

Fax

(703) 726-1607

NPI assigned

Dec 4, 2006

Sex

Male

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

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831257062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43150 BROADLANDS CENTER PLAZA",
            "address_2": "SUITE #158",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "20148",
            "telephone_number": "703-726-1600",
            "fax_number": "703-726-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43150 BROADLANDS CENTER PLAZA",
            "address_2": "SUITE #158",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "20148",
            "telephone_number": "703-726-1600",
            "fax_number": "703-726-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julieta Paulina Graves, LPC
• Cassandra A. Green
• Amy Guthrie, M.S., CCC-SLP
• Laura Hall
• Shamim Hamidzadeh, BCBA
• Joan Hanlon
• Erica J Harris
• Lisa Harris, MSW
• Ryan Harting, ED.S.
• Renee D. Hawn, PT

• General Practice Dentistry in Broadlands, VA
• Providers in Broadlands, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.