Individual provider Active NPI

Gregory Hanak, D.M.D.

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1285185645
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32500 Issued in TX
Practice address
2700 W Anderson LN
Ste 418
Austin, TX 78757-1159
Phone
(512) 334-9894
NPI assigned
Oct 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 32500 TX Primary

Addresses

Primary practice location

2700 W Anderson LN
Ste 418
Austin, TX 78757-1159

Mailing address

2700 W Anderson LN
Ste 418
Austin, TX 78757-1159
Phone (512) 334-9894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260401000692 CA Practitioner - Dentist 5193062859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Oregon Health & Sciences Univ School of Dentistry, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3850 W Buena Vista Ave
Visalia, CA 93291-8427

6973 Linda Vista Rd
San Diego, CA 92111-6342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32500TXMDGeneral Practice Dentistry

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1285185645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W ANDERSON LN",
            "address_2": "STE 418",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571159",
            "telephone_number": "512-334-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W ANDERSON LN",
            "address_2": "STE 418",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571159",
            "telephone_number": "512-334-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAK",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.