Eugene Han, D.D.S, M.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

37165 Issued in TX

Practice address

809 SW Alsbury Blvd # 100
Burleson, TX 76028-9200

Phone

(817) 426-1406

NPI assigned

Aug 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1831446400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W ROSEDALE ST APT 1555",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SW ALSBURY BLVD # 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760289200",
            "telephone_number": "817-426-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4504 W Vickery Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761076224",
            "country_code": "US",
            "telephone_number": "817-332-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "EUGENE",
        "credential": "D.D.S, M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61632",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "61632",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "37165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hameed A Hameed, PHARMD
• Ansley Hamideh
• Hamilton County Hospital District
• Hamilton County Hospital District
• Shelly Dawn Hampton, FNP-C
• Hanane Chichane, MD,PA
• Christopher Taylor Hankins Jr., PT, DPT
• Erin Marie Happ, D.O
• Stephanie Hardee
• Kristen Hardin, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Burleson, TX
• Providers in Burleson, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.