Matthew North Hannan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D009233 Issued in AZ

Practice address

8250 N Cortaro Rd Ste 110
Tucson, AZ 85743-7304

Phone

(520) 744-2233

NPI assigned

Jun 2, 2015

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

Enrolled in AZ

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

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 and National Provider Directory roles.

• Cortaro Smiles and Orthodontics, LLP

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1518273598
  NPD (past)

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1275913543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 W CATALINA VIEW DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424490",
            "telephone_number": "210-744-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 N CORTARO RD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437304",
            "telephone_number": "520-744-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "MATTHEW",
        "middle_name": "NORTH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Mark Hannah
• Arthi Hannallah, MD
• Jack Hannallah, MD, MBA, MPH
• John Patrick Hannan, PEER SUPPORT SPECIAL
• Katlyn Hannan, PT, DPT
• Philipp Lorenz Hannan, M.D.
• Bryan M Hannley, P.T.
• Cameron Hannum, PHARMD
• Claudia Maria Hannum, LASAC
• Hanover Lithotripsy, LLC

• Dentist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.