Min Soo Han, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

64031 Issued in CA

Practice address

2057 W Foothill Blvd
Upland, CA 91786-3548

Phone

(909) 982-0188

NPI assigned

Jan 5, 2015

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

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Min Soo Han Dental Group Inc.

  • Dental Clinic/Center
  • El Monte, CA
  • NPI 1902680283
  NPD Authorized official
• Minsoo Han DDS Inc

  • Dental Clinic/Center
  • Upland, CA
  • NPI 1427696277
  NPD Authorized official
• Daniel Wonil Hwang DDS Inc

  • Dental Clinic/Center
  • Upland, CA
  • NPI 1851759484

  Dentist

  NPD (past)
• McKenzie Dental Center

  • General Practice Dentistry
  • Springfield, OR
  • NPI 1588225155
  NPD (past)

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1972991503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863548",
            "telephone_number": "909-982-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863548",
            "telephone_number": "909-982-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "MIN SOO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-05",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Hale-Vidal
• Ann Marie Hale, DDS
• La Tonaya Renee Hall, RN
• Hamid Rahman MD Medical Corporation
• Hammad O Khan, MD, Inc.
• Hand to Hand Hospice Care, Inc.
• Handler Psychological Corporation
• Handler Psychological Corporation
• Joyce E. Handler, PSY.D.
• Jonardi Handoko, MD

• Dentist in Upland, CA
• Providers in Upland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.