John Timothy Hansford Jr., D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

056107 Issued in NY

Practice address

2171 Jericho Tpke
Commack, NY 11725-2937

Phone

(631) 486-6364

NPI assigned

Jul 1, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• John T. Hansford Jr. DMD Board Certified Pediatric Dental Specialist P

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1427531441
  NPD Authorized official
• John T. Hansford DMD P.C.

  • Pediatric Dentistry
  • Watkinsville, GA
  • NPI 1578239810
  NPD (past) Authorized official

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1386931095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NORMAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222934",
            "telephone_number": "929-324-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252937",
            "telephone_number": "631-486-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSFORD",
        "first_name": "JOHN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "056107",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NY",
            "license": "056107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131740114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mishele I Halpern, LCSW
• Kimberly Stone Haltiwanger, MD
• Adris Hamid, MHC-LP
• Hand on Health Care
• Hands on Healthcare Massage Therapy, P.C.
• Raymond Hanson, PT
• Lori Hardoon, LCSW
• Jared Scott Harmon, PA-C
• Harmony Healing Room LLC
• Brooke Harris, LMSW

• Pediatric Dentistry in Commack, NY
• Providers in Commack, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.