Individual provider Active NPI

Christina Marie Hanigan, DDS

  • Dentist
  • Garden City, KS
National Provider Identifier
1073523437
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7072 Issued in KS
Practice address
310 E. Walnut St
LL1
Garden City, KS 67846
Phone
(620) 275-8811
Fax
(620) 275-7013
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7072 KS Primary

Addresses

Primary practice location

310 E. Walnut St
LL1
Garden City, KS 67846

Mailing address

310 E. Walnut St
LL1
Garden City, KS 67846
Phone (620) 275-8811

Other identifiers 2

IdentifierTypeStateIssuer
059681OtherKSBLUE CROSS BLUE SHIELD
880077OtherUNITED CONCORDIA

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

LicenseStateTypeSpecialty
7072KSMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073523437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E. WALNUT ST",
            "address_2": "LL1",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-275-8811",
            "fax_number": "620-275-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E. WALNUT ST",
            "address_2": "LL1",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-275-8811",
            "fax_number": "620-275-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIGAN",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "7072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "059681",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "880077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

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.

Verify at the official NPI Registry.