NPIMap

Organization Active NPI

WPD Dental Group

  • Periodontics
  • Los Angeles, CA
National Provider Identifier
1982002002
Registry record updated Dec 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30416 Issued in CA
Legal business name
WPD DENTAL GROUP
Practice address
3700 Wilshire Blvd Ste 780
Ste780
Los Angeles, CA 90010-3001
Phone
(213) 380-7900
NPI assigned
Dec 6, 2014
Organization subpart
Yes
Parent organization
HAN MS DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2014

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

Authorized official

Name
Dr. Thomas J HanNPI 1356464499
Title
Executive Officer
Phone
(213) 380-7900

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
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 30416 CA Primary

Addresses

Primary practice location

3700 Wilshire Blvd Ste 780
Ste780
Los Angeles, CA 90010-3001

Mailing address

3700 Wilshire Blvd Ste 780
Ste780
Los Angeles, CA 90010-3001
Phone (213) 380-7900

National Provider Directory

National Provider Directory
Part of
WPD Dental Group

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417824000000",
    "number": "1982002002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD STE 780",
            "address_2": "STE780",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103001",
            "telephone_number": "213-380-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD STE 780",
            "address_2": "STE780",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103001",
            "telephone_number": "213-380-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WPD DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAN MS DDS",
        "enumeration_date": "2014-12-06",
        "last_updated": "2014-12-06",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "213-380-7900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "30416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.