Active NPI
Mitchell Allen Hanson, DDS
- Periodontics
- Naples, FL
National Provider Identifier
1003591942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN30267
- Practice address
- 9170 Galleria CT Ste 100
Naples, FL 34109-4399 - Phone
- (417) 773-6681
- NPI assigned
- Jun 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN30267 | FL | Primary |
Addresses
Primary practice location
9170 Galleria CT Ste 100
Naples, FL 34109-4399
Mailing address
9170 Galleria CT Ste 100
Naples, FL 34109-4399
Phone (417) 773-6681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30267 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754179200000",
"number": "1003591942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9170 GALLERIA CT STE 100",
"city": "NAPLES",
"state": "FL",
"postal_code": "341094399",
"telephone_number": "417-773-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9170 GALLERIA CT STE 100",
"city": "NAPLES",
"state": "FL",
"postal_code": "341094399",
"telephone_number": "417-773-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "MITCHELL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-19",
"last_updated": "2025-08-03",
"certification_date": "2025-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN30267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.