NPIMap

Organization Active NPI

Charles a. Hanby DDS PC

  • General Practice Dentistry
  • Springdale, AR
National Provider Identifier
1093802209
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
621 Issued in AR
Legal business name
CHARLES A. HANBY DDS PC
Practice address
2707 W Huntsville Ave
Springdale, AR 72762-7723
Phone
(479) 756-8631
Fax
(479) 751-7892
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Albert Hanby, DDSNPI 1760562565
Title
President
Phone
(479) 751-8631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 621 AR Primary

Addresses

Primary practice location

2707 W Huntsville Ave
Springdale, AR 72762-7723

Mailing address

2707 W Huntsville Ave
Springdale, AR 72762-7723
Phone (479) 756-8631

Other identifiers 3

IdentifierTypeStateIssuer
58250OtherBCBS
1303179OtherUNITED CONCORDIA
2082OtherDELTA DENTAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093802209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 W HUNTSVILLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627723",
            "telephone_number": "479-756-8631",
            "fax_number": "479-751-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 W HUNTSVILLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627723",
            "telephone_number": "479-756-8631",
            "fax_number": "479-751-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. HANBY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANBY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-751-8631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1303179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "2082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.