Hanife Canan Bayraktaroglu, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

31094 Issued in TX

Practice address

245 W State Highway 114 Ste 130
Southlake, TX 76092-3639

Phone

(737) 747-2221

Fax

(737) 273-8762

NPI assigned

Apr 4, 2012

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Smile Rehab Centers

  • Prosthodontics
  • Southlake, TX
  • NPI 1154043867
  NPD Authorized official
• Network Provider Associates, P.C.

  • Dentist
  • Lake Worth, TX
  • NPI 1659665339

  Prosthodontics

  NPD (past)

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1245596279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W STATE HIGHWAY 114 STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923639",
            "telephone_number": "737-747-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W STATE HIGHWAY 114 STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923639",
            "telephone_number": "737-747-2221",
            "fax_number": "737-273-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYRAKTAROGLU",
        "first_name": "HANIFE",
        "middle_name": "CANAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "31094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Bass
• Cashayla Miyon Bates
• Joe Boyd Bates, M.D.
• Robert Baughman
• Pamela Ann Bay, OTR
• Beacon Community Services
• Alexander Beatty, DC
• Caitlin Grace Raelee Beauchamp
• Elizabeth Beazley, MSN
• Claire Becker, CCC-SLP

• Prosthodontics in Southlake, TX
• Providers in Southlake, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.