Matt Oscar Hanhila III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4468 Issued in AZ

Practice address

1515 E Missouri Ave
Suite 103
Phoenix, AZ 85014-2446

Phone

(602) 279-2981

Fax

(602) 279-1074

NPI assigned

Oct 17, 2006

Last updated

Apr 7, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hanhila and Hanhila DDS PC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1467641928
  Authorized official Same address or phone

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1417037011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E MISSOURI AVE",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142446",
            "telephone_number": "602-279-2981",
            "fax_number": "602-279-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E MISSOURI AVE",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142446",
            "telephone_number": "602-279-2981",
            "fax_number": "602-279-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANHILA",
        "first_name": "MATT",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics West, Inc.
• Hanger Prosthetics & Orthotics West, Inc. (Elite Care)
• Hanger Prosthetics & Orthotics West, Inc.
• Hanhila and Hanhila DDS PC
• Bridget Fields Hanhila, DDS
• Nadia Hanif, M.D.
• Shahneela Hanif
• Jennifer Leigh Hanisch, AGACNP
• Ronald Joe Hankins, MA CCC-SLP
• Heather Anne Hanley, M.D.

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.