Individual provider Active NPI

Hannah Ceravolo, DMD

  • General Practice Dentistry
  • Oak Harbor, WA
National Provider Identifier
1164342903
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS045904 Issued in PA
Practice address
Naval Health Clinic Oak Harbor 3475 N Saratoga Street
Building 993
Oak Harbor, WA 98278-8800
Phone
(360) 257-9500
NPI assigned
Jul 21, 2026
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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 DS045904 PA Primary

Addresses

Primary practice location

Naval Health Clinic Oak Harbor 3475 N Saratoga Street
Building 993
Oak Harbor, WA 98278-8800

Mailing address

259 SE Ely St Unit A1
Oak Harbor, WA 98277-5225

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
DS045904PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1164342903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 SE ELY ST UNIT A1",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA STREET",
            "address_2": "BUILDING 993",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982788800",
            "telephone_number": "360-257-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERAVOLO",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.