Active NPI
Larry Hanus, DDS
- Dentist
- Iowa City, IA
National Provider Identifier
1376182774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS-6435
- Practice address
- 2401 Towncrest LN
Iowa City, IA 52240-6630 - Phone
- (319) 512-5655
- NPI assigned
- Jan 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-6435 | IA | Primary |
Addresses
Primary practice location
2401 Towncrest LN
Iowa City, IA 52240-6630
Mailing address
2401 Towncrest LN
Iowa City, IA 52240-6630
Phone (319) 512-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6435 | Other | IA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-6435 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1376182774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 TOWNCREST LN",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406630",
"telephone_number": "319-512-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 TOWNCREST LN",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406630",
"telephone_number": "319-512-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANUS",
"first_name": "LARRY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-6435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6435",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.