Individual provider Active NPI

Najlaa Hanna, DMD

  • General Practice Dentistry
  • Plattsburgh, NY
National Provider Identifier
1134414030
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
062009 Issued in NY
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

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625002218 MA Order and Referring Only - DentistPractitioner - Dentist 1759692114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
062009NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Dental Associates General Practice PastSince Sep 1, 2024 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.

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

Verify at the official NPI Registry.