NPI Code Detail JSON Logo

1083864615 NPI number — RICHARD ROGER HAN DDS

NPI Number: 1083864615
Health Care Provider/Practitioner: RICHARD ROGER HAN DDS

Information about “1083864615” NPI (RICHARD ROGER HAN DDS) exists in 1083864615 in HTML format HTML  |  1083864615 in plain Text format TXT  |  1083864615 in PDF (Portable Document Format) PDF  |  1083864615 in an XML format XML  formats.

NPI Number : 1083864615 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083864615",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAN",
    "FirstName": "RICHARD",
    "MiddleName": "ROGER",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9609 PASTURE ROSE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELK GROVE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95624-6071",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-951-2452",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11155 INTERNATIONAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RANCHO CORDOVA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95670-6096",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-951-2452",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/18/2008",
    "LastUpdateDate": "09/15/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "64370",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DE60058989",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.