Active NPI
Hikmat Gabriel Hannawi, D.M.D
- General Practice Dentistry
- Attleboro, MA
National Provider Identifier
1174658363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19763
- Practice address
- 550 N Main St
Suite #1
Attleboro, MA 02703-1735 - Phone
- (508) 222-2510
- Fax
- (508) 222-3903
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19763 | MA | Primary |
Addresses
Primary practice location
550 N Main St
Suite #1
Attleboro, MA 02703-1735
Mailing address
550 N Main St
Suite # 1
Attleboro, MA 02703-1735
Phone (508) 222-2510
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DELTA DENTAL OF MASS | Other | MA | 19763 |
| NUICARE | Other | MA | 19763 |
| BCBS OF MASS | Other | MA | HAX 11292 |
| BCBS PPO | Other | MA | V05219 |
| GUARDIAN | Other | MA | 043539003 |
| 0299961 | Medicaid | MA | |
| ALTUS DENTAL | Other | MA | 19763 |
| CIGNA PPO | Other | MA | 19763 |
| METLIFE | Other | MA | 19763 |
| AETNA PPO | Other | MA | 043539003 |
| BCBS OF RI | Other | MA | MOOOX11292 |
| DHA | Other | MA | 89461 |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1174658363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N MAIN ST",
"address_2": "SUITE # 1",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027031735",
"telephone_number": "508-222-2510",
"fax_number": "508-222-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N MAIN ST",
"address_2": "SUITE #1",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027031735",
"telephone_number": "508-222-2510",
"fax_number": "508-222-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAWI",
"first_name": "HIKMAT",
"middle_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "19763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "19763",
"identifier": "DELTA DENTAL OF MASS",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "19763",
"identifier": "NUICARE",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAX 11292",
"identifier": "BCBS OF MASS",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "V05219",
"identifier": "BCBS PPO",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "043539003",
"identifier": "GUARDIAN",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0299961",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "19763",
"identifier": "ALTUS DENTAL",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "19763",
"identifier": "CIGNA PPO",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "19763",
"identifier": "METLIFE",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "043539003",
"identifier": "AETNA PPO",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOOOX11292",
"identifier": "BCBS OF RI",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "89461",
"identifier": "DHA",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.