Active NPI
Dong Wu Han, D.M.D.
- Dentist
- Bellevue, WA
National Provider Identifier
1962884247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100157
- Practice address
- 12826 SE 40TH LN
Bellevue, WA 98006-4278 - Phone
- (425) 641-5303
- NPI assigned
- Jun 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100157 | AK | Primary |
Addresses
Primary practice location
12826 SE 40TH LN
Bellevue, WA 98006-4278
Mailing address
2134 E 56TH Ave Unit N104
Anchorage, AK 99507-1611
Phone (425) 681-6653
Other practice location 1
11201 88th Ave E Ste 110
Puyallup, WA 98373-3802
Phone (253) 848-2988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dong Wu Han DMD, PLLC. | Current | Accepting new patients | |
| Dong W Han DMD PLLC | Past | Accepting new patients | |
| Han Dental Group PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Puyallup, WA
- NPI 1265327969
-
- Dentist
- Puyallup, WA
- NPI 1679905368
-
- General Practice Dentistry
- Tacoma, WA
- NPI 1730963364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1962884247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2134 E 56TH AVE UNIT N104",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071611",
"telephone_number": "425-681-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12826 SE 40TH LN",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980064278",
"telephone_number": "425-641-5303"
}
],
"practiceLocations": [
{
"address_1": "11201 88th Ave E Ste 110",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983733802",
"country_code": "US",
"telephone_number": "253-848-2988",
"fax_number": "253-840-9221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAN",
"first_name": "DONG WU",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-23",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "100157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.