Active NPI
Charles B Hanna Jr., D.M.D.
- General Practice Dentistry
- Boiling Springs, SC
National Provider Identifier
1053425546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1847
- Practice address
- 1821 Old Furnace Rd
Boiling Springs, SC 29316-7427 - Phone
- (864) 578-8344
- Fax
- (864) 578-9255
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1847 | SC | Primary |
Addresses
Primary practice location
1821 Old Furnace Rd
Boiling Springs, SC 29316-7427
Mailing address
PO Box 161899
Boiling Springs, SC 29316-0032
Phone (864) 578-8344
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 |
|---|---|---|---|
| 1847 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timmons Dental, LLC | Past | Accepting new patients | |
| Charles B. Hanna, Jr., D.M.D. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Boiling Springs, SC
- NPI 1871784488
-
- Dental Clinic/Center
- Boiling Springs, SC
- NPI 1639733397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053425546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 161899",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "293160032",
"telephone_number": "864-578-8344",
"fax_number": "864-578-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 OLD FURNACE RD",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "293167427",
"telephone_number": "864-578-8344",
"fax_number": "864-578-9255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "CHARLES",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "1847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boiling Springs, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.