Individual provider Active NPI

Lauren Tangney Hanschu, D.D.S.

  • General Practice Dentistry
  • Carmichael, CA
National Provider Identifier
1063536415
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31156 Issued in CA
Practice address
6660 Coyle Ave Ste 240
Carmichael, CA 95608-6360
Phone
(916) 966-5269
Fax
(916) 966-5344
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31156 CA Primary

Addresses

Primary practice location

6660 Coyle Ave Ste 240
Carmichael, CA 95608-6360

Mailing address

6660 Coyle Ave Ste 240
Carmichael, CA 95608-6360
Phone (916) 966-5269

Other names 1

  • Dr. Laurie T Hanschu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307001510 CA Order and Referring Only - DentistPractitioner - Dentist 5395041016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1063536415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 COYLE AVE STE 240",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086360",
            "telephone_number": "916-966-5269",
            "fax_number": "916-966-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 COYLE AVE STE 240",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086360",
            "telephone_number": "916-966-5269",
            "fax_number": "916-966-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSCHU",
        "first_name": "LAUREN",
        "middle_name": "TANGNEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "HANSCHU",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.