Sean Patrick Hanna, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D008811 Issued in AZ

Practice address

9660 E 22ND St Ste 160
Tucson, AZ 85748-7562

Phone

(520) 917-0666

NPI assigned

Aug 6, 2013

Last updated

Aug 6, 2013By the provider in NPPES

Sex

Male

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

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spanish Trail Dental Group, LLP

  dba Dentists of Tucson

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1902013006
  NPD (past)

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1295167773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10206 E DESERT FLOWER PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498166",
            "telephone_number": "503-750-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 E 22ND ST STE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857487562",
            "telephone_number": "520-917-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Hanna, NRP
• Keri Lynne Hanna, MSW
• Mary Elizabeth Hanna, MS OTR/L
• Myriam Raquel Hanna, PT
• Peter Hanna, MD
• Karina Molina Hannaford
• Constance Lee Hannah, NP
• Crisanta T Hannah, NONE
• Hannah C Hannah, LAMFT
• Tim Mark Hannah

• 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 Aug 6, 2013; 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.