Michael Hanna, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

063267 Issued in NY

Practice address

23 Bond St Ste 8
Great Neck, NY 11021-2025

Phone

(516) 482-0329

NPI assigned

Mar 21, 2019

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 8, 2026 through Apr 8, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rodney Rastegar DDS PLLC

  dba Progressive Oral Surgery of Long Island

  • Oral and Maxillofacial Surgery (Dentist)
  • Garden City, NY
  • NPI 1508195975
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1184184624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HERB HILL RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115424415",
            "telephone_number": "860-514-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BOND ST STE 8",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212025",
            "telephone_number": "516-482-0329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3706 82nd St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727041",
            "country_code": "US",
            "telephone_number": "718-565-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 Lakeville Rd",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401600",
            "country_code": "US",
            "telephone_number": "516-437-2666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115305795",
            "country_code": "US",
            "telephone_number": "516-741-4415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "063267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Hameed, M.D
• Jung-Ah Han, MD
• Hand Wellness Occupational Therapy PLLC
• Martin Harold Handler, MD
• Kelly Ann Hanford-Workman, MPT
• Moneer K. Hanna, M.D.
• Farshad David Hannanian, M.D.
• Howard Hao, MD
• Eden Haramati, RDN
• Justin Derek Harbst, ATC

• Oral and Maxillofacial Surgery (Dentist) in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.