Organization Active NPI

Xiang Ning Han D.D.S Dental Corporation

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1881994853
Registry record updated Oct 25, 2010
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 D.D.S DENTAL CORPORATION
Practice address
17337 Arrow Blvd
Suite 200
Fontana, CA 92335-3950
Phone
(909) 357-1000
Fax
(909) 357-0102
NPI assigned
Oct 25, 2010
Organization subpart
Yes
Parent organization
XIANG NING HAN D.D.S. DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Xiang Ning Han, D.D.S
Title
Dentist
Phone
(909) 627-5856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48459 CA Primary

Addresses

Primary practice location

17337 Arrow Blvd
Suite 200
Fontana, CA 92335-3950

Mailing address

17337 Arrow Blvd
Suite 200
Fontana, CA 92335-3950
Phone (909) 357-1000

Other names 1

  • xiang ning han d.d.s. dental corporation Doing business as

National Provider Directory

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

Other organizations with this tax ID 1

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

Locations

17337 Arrow Blvd
#200
Fontana, CA 92335
Phone (909) 357-1000

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1881994853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17337 ARROW BLVD",
            "address_2": "SUITE 200",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353950",
            "telephone_number": "909-357-1000",
            "fax_number": "909-357-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17337 ARROW BLVD",
            "address_2": "SUITE 200",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353950",
            "telephone_number": "909-357-1000",
            "fax_number": "909-357-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIANG NING HAN D.D.S DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XIANG NING HAN D.D.S. DENTAL CORPORATION",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "XIANG NING",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-627-5856",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "xiang ning han d.d.s. dental corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.