Individual provider Active NPI

Odena Hanna, DDS

  • General Practice Dentistry
  • Hackettstown, NJ
National Provider Identifier
1417632985
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS044957 Issued in PA
Practice address
1885 Route 57 Ste 1
Hackettstown, NJ 07840-3487
Phone
(908) 441-7038
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02944400 NJ
General Practice Dentistry 1223G0001X DS044957 PA Primary

Addresses

Primary practice location

1885 Route 57 Ste 1
Hackettstown, NJ 07840-3487

Mailing address

5 Margie Rd
East Brunswick, NJ 08816-2637
Phone (908) 616-4679

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
22DI02944400NJMDGeneral Practice Dentistry
DS044957PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gupta Dental LLC General Practice CurrentSince Feb 9, 2025 Accepting new patients

Locations

1885 Route 57
Ste 1
Hackettstown, NJ 07840
Phone (908) 441-7038

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1417632985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARGIE RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162637",
            "telephone_number": "908-616-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 ROUTE 57 STE 1",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403487",
            "telephone_number": "908-441-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ODENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02944400",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.