Active NPI
Najlaa Hanna, DMD
- General Practice Dentistry
- Plattsburgh, NY
National Provider Identifier
1134414030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 062009
- Practice address
- 91 Hammond LN
Plattsburgh, NY 12901-2050 - Phone
- (518) 563-7620
- Fax
- (518) 563-9151
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1855638 | MA | |
| General Practice Dentistry | 1223G0001X | 062009 | NY | Primary |
Addresses
Primary practice location
91 Hammond LN
Plattsburgh, NY 12901-2050
Mailing address
91 Hammond LN
Plattsburgh, NY 12901-2050
Phone (518) 563-7620
Other practice location 1
79 Maple St
East Longmeadow, MA 01028-2734
Phone (413) 525-6821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625002218 | MA | Order and Referring Only - Dentist | 1759692114 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062009 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Dental Associates | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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
- East Longmeadow, MA
- NPI 1194874545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1134414030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 HAMMOND LN",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012050",
"telephone_number": "518-563-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 HAMMOND LN",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012050",
"telephone_number": "518-563-7620",
"fax_number": "518-563-9151"
}
],
"practiceLocations": [
{
"address_1": "79 Maple St",
"address_purpose": "LOCATION",
"city": "East Longmeadow",
"state": "MA",
"postal_code": "010282734",
"country_code": "US",
"telephone_number": "413-525-6821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "NAJLAA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1855638",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "062009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.