Individual provider Active NPI

David Hanna, D.M.D.

  • General Practice Dentistry
  • Westminster, CO
National Provider Identifier
1194177998
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00202849 Issued in CO
Practice address
7025 Sheridan Blvd Ste 200
Westminster, CO 80003-3814
Phone
(303) 427-4001
NPI assigned
Jul 6, 2016
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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 DEN.00202849 CO Primary

Addresses

Primary practice location

7025 Sheridan Blvd Ste 200
Westminster, CO 80003-3814

Mailing address

7025 Sheridan Blvd Ste 200
Westminster, CO 80003-3814
Phone (303) 427-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20161024002454 CO Order and Referring Only - DentistPractitioner - Dentist 6608154786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00202849COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hanna Ventures Colorado, PLLC Current Accepting new patients
Hidden Lake Dental Group, LLP General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1194177998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 SHERIDAN BLVD STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800033814",
            "telephone_number": "303-427-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 SHERIDAN BLVD STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800033814",
            "telephone_number": "303-427-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.