Jiawei Han, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022415 Issued in MI

Practice address

13219 Eureka Rd
Southgate, MI 48195-1309

Phone

(734) 392-8002

NPI assigned

Nov 6, 2017

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

Other names 1

• Dr. Jay Han Professional name

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1912410598",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2204 -380 PELISSIER STREET",
            "city": "WINDSOR",
            "state": "ONTARIO",
            "postal_code": "N9A6V7"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13219 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951309",
            "telephone_number": "734-392-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JIAWEI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "HAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrea Lynne Haller, M.A., L.P.C
• Katherine Ruth-Asher Halquist
• Jason Hamel, L.L.P.
• Muhammad Hamid, P.T.A.
• Nicole Hammermeister
• Lakshmi Hanasoge, M.D.
• Greg Haney
• Susan Marie Hansen, L.L.P.
• Lynnea Harabedian
• Karen Rae Harkness

• General Practice Dentistry in Southgate, MI
• Providers in Southgate, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.