NPIMap

Organization Active NPI

George E. Hanna, Jr DDS

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1326240680
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5015 Issued in NC
Legal business name
GEORGE E. HANNA, JR DDS
Practice address
612 Pasteur Dr
Suite 101
Greensboro, NC 27403-1149
Phone
(336) 292-1990
Fax
(336) 292-4738
NPI assigned
May 31, 2007
Last updated
Jun 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. George E Hanna Jr., DDS
Title
Owner
Phone
(336) 292-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5015 NC Primary

Addresses

Primary practice location

612 Pasteur Dr
Suite 101
Greensboro, NC 27403-1149

Mailing address

612 Pasteur Drive
Suite 101
Greensboro, NC 27403
Phone (336) 292-1990

Other identifiers 2

IdentifierTypeStateIssuer
8993545MedicaidNC
465623OtherNCUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

612 Pasteur Dr
Ste 101
Greensboro, NC 27403
Phone (336) 292-1990

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1326240680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 PASTEUR DRIVE",
            "address_2": "SUITE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27403",
            "telephone_number": "336-292-1990",
            "fax_number": "336-292-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PASTEUR DR",
            "address_2": "SUITE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031149",
            "telephone_number": "336-292-1990",
            "fax_number": "336-292-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E. HANNA, JR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-292-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993545",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "465623",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.