Individual provider Active NPI

Lewis Hanan, D.M.D.

  • Periodontics
  • Sarasota, FL
National Provider Identifier
1407994593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN 003553 Issued in FL
Practice address
1830 S Tuttle Ave
Sarasota, FL 34239-3112
Phone
(941) 366-6161
Fax
(941) 366-6162
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN 003553 FL Primary

Addresses

Primary practice location

1830 S Tuttle Ave
Sarasota, FL 34239-3112

Mailing address

1830 S Tuttle Ave
Sarasota, FL 34239-3112
Phone (941) 366-6161

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

LicenseStateTypeSpecialty
DN 003553FLMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407994593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393112",
            "telephone_number": "941-366-6161",
            "fax_number": "941-366-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393112",
            "telephone_number": "941-366-6161",
            "fax_number": "941-366-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAN",
        "first_name": "LEWIS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN 003553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.