Individual provider Active NPI

Dong Wu Han, D.M.D.

  • Dentist
  • Bellevue, WA
National Provider Identifier
1962884247
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100157 Issued in AK
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

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Dong Wu Han DMD, PLLC. Current Accepting new patients
Dong W Han DMD PLLC PastSince Jun 15, 2025 Accepting new patients
Han Dental Group PLLC Dentist PastSince Nov 13, 2022 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.

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.

Verify at the official NPI Registry.