Individual provider Active NPI

Kristina Hanhan

  • Dentist
  • Riverview, FL
National Provider Identifier
1235023367
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN30276 Issued in FL
Practice address
11345 US 301 S Ste 104
Riverview, FL 33578-6279
Phone
(813) 367-9496
NPI assigned
Jun 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN30276 FL Primary

Addresses

Primary practice location

11345 US 301 S Ste 104
Riverview, FL 33578-6279

Mailing address

11345 US 301 S Ste 104
Riverview, FL 33578-6279
Phone (813) 367-9496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250916004031 FL Order and Referring Only - DentistPractitioner - Dentist 2961906656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Smiles Dentistry, PA Dentist CurrentSince Jun 8, 2025 Accepting new patients

Locations

11345 US Highway 301 S
Ste 104
Riverview, FL 33578
Phone (813) 367-9496

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1235023367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11345 US 301 S STE 104",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335786279",
            "telephone_number": "813-367-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11345 US 301 S STE 104",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335786279",
            "telephone_number": "813-367-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANHAN",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.