NPIMap

Organization Active NPI

David S. Han, M.S., D.M.D., a Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vista, CA
National Provider Identifier
1902828874
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
48607 Issued in CA
Legal business name
DAVID S. HAN, M.S., D.M.D., A PROFESSIONAL CORPORATION
Practice address
122 Civic Center Dr
Suite 104
Vista, CA 92084-6040
Phone
(760) 726-4790
Fax
(760) 726-0960
NPI assigned
Jul 23, 2006
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dr. David S. Han, M.S., D.M.D.NPI 1538352471
Title
President/Owner
Phone
(760) 726-4790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 48607 CA Primary

Addresses

Primary practice location

122 Civic Center Dr
Suite 104
Vista, CA 92084-6040

Mailing address

122 Civic Center Dr
Suite 104
Vista, CA 92084-6040
Phone (760) 726-4790

National Provider Directory

National Provider Directory

Locations

122 Civic Center Dr
Ste 104
Vista, CA 92084
Phone (760) 726-4790

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1902828874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CIVIC CENTER DR",
            "address_2": "SUITE 104",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846040",
            "telephone_number": "760-726-4790",
            "fax_number": "760-726-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CIVIC CENTER DR",
            "address_2": "SUITE 104",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846040",
            "telephone_number": "760-726-4790",
            "fax_number": "760-726-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. HAN, M.S., D.M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "760-726-4790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S., D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "48607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.