Katherine Hannon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D13659 Issued in MN

Practice address

2575 Hamline Ave N Ste F
Roseville, MN 55113-3175

Phone

(651) 636-2373

NPI assigned

May 19, 2016

Sex

Female

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

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bates Dental Care LTD

  • General Practice Dentistry
  • Roseville, MN
  • NPI 1649503913
  NPD (past)
• Loop Dental PLLC

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1427572932
  NPD (past)

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205283264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 HAMLINE AVE N STE F",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133175",
            "telephone_number": "651-636-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 HAMLINE AVE N STE F",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133175",
            "telephone_number": "651-636-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 5th Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554011215",
            "country_code": "US",
            "telephone_number": "612-470-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNON",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily C Halverson, DPT
• Kari Lea Halvorson, MD
• Hamline Health & Wellness PA
• Kristin Hangge, FNP
• Julie Estelle Macbain Hanna, M.D.
• David John Hansen, OD
• Derick William Hansen, DPT
• Daniel W Hanson, MD
• Anton Tavares Hanspard Jr.
• Halima Mohamed Haret

• Dentist in Roseville, MN
• Providers in Roseville, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.