Scott M Hannaman DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6155 Issued in LA

Legal business name

SCOTT M HANNAMAN DDS LLC

Practice address

1540 Country Club Rd
Lake Charles, LA 70605-5324

Phone

(337) 474-4892

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Scott Martin Hannaman, DDSNPI 1093008005

Title

Owner

Phone

(337) 474-4892

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Martin Hannaman, D.D.S.

  • Dentist
  • Lake Charles, LA
  • NPI 1093008005
  NPD (past) Authorized official
• Edward J. Hebert, D.D.S.

  • General Practice Dentistry
  • Lake Charles, LA
  • NPI 1982643052
  NPD (past)

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1396102174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 COUNTRY CLUB RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055324",
            "telephone_number": "337-474-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 COUNTRY CLUB RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055324",
            "telephone_number": "337-474-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M HANNAMAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "HANNAMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-474-4892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everett Anton Schneider, MD
• Allie Parker Schultz, BCBA, LBA
• Lee Marc Schwalben, M.D.
• Karen Renee Schwartzenburg, MA, LPC
• Scott L Worley DDS LLC
• Scott P Derouen DC PC
• Cynthia Jean Scott, M.D.
• John L Scott, CRNA
• Matthew Gary Scroggs, M.D.
• Arezou Seadet

• General Practice Dentistry in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.