MIN SOO HAN DDS
NPI 1972991503
Dentist in Upland, CA

Q: What is Min Soo Han's NPI number?

The NPI number for Min Soo Han is 1972991503. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Q: What is Min Soo Han's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Min Soo Han was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 05, 2015PECOS Enrolled

2057 W FOOTHILL BLVD, UPLAND, CA 91786(909) 982-0188 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2020, Jun 21, 2016 (2 updates tracked since 2016).

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About Min Soo Han Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIN SOO HAN DDS (NPI 1972991503) is an individual dentist in Upland, California, licensed in California (64031) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972991503

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMIN SOO HANCredential: DDS

Location Address2057 W FOOTHILL BLVDUpland, CA 91786-3548

Mailing Address2057 W Foothill BlvdUpland, CA 91786-3548 · (909) 982-0188

Phone(909) 982-0188

Sole ProprietorNo

Enumeration DateJanuary 5, 2015

Last NPPES UpdateMay 11, 20202 updates tracked since enumeration

NPPES CertifiedMay 11, 2020

✔ NPI 1972991503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 64031

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2057 W FOOTHILL BLVD, Upland, CA 91786

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Min Soo Han Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINSOO HAN DDS INC

Clinic/Center (Dental)

2057 W FOOTHILL BLVD
UPLAND, CA 91786

San Bernardino County (909) 982-0188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Min Soo Han's NPI number?

The NPI number for Min Soo Han is 1972991503. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Where is Min Soo Han located?

Min Soo Han practices at 2057 W Foothill Blvd, Upland, CA 91786. The listed phone number is (909) 982-0188.

What is Min Soo Han's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Min Soo Han enrolled in Medicare?

Yes. Min Soo Han is registered in the Medicare PECOS enrollment system.

What insurance does Min Soo Han accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Min Soo Han as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Min Soo Han was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.