Hannah Moran, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14863 Issued in MN

Practice address

10182 Lancaster LN N
Maple Grove, MN 55369-3562

Phone

(773) 384-3500

NPI assigned

Mar 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hmello139887@direct.luhs.org

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.

• Loyola University Medical Center

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  NPD
• Young Esthetics

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1700241312
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1003492513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10182 LANCASTER LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10182 LANCASTER LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693562",
            "telephone_number": "773-384-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "HANNAH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033464",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeen Montgomery-Peterson, PSY. D., LP
• Carolyn A Montgomery, PA-C
• Ryan Dean Montgomery, PHARMD
• Reagan Paige Moody
• Hannah Louise Moore
• Catalina Smarandita Morarasu, DDS
• Brittany Shawn Moreno, PT. DPT
• Loredana Morett Herbst, HEALTH AND WELLNESS
• Jeanne L Morizio, APRN, CNP
• Alisa Michele Morley, R.D., L.D.

• General Practice Dentistry in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.