Individual provider Active NPI

Narmen Jiries Hanhan, DMD, MPH

  • Dentist
  • San Mateo, CA
National Provider Identifier
1447635115
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63821 Issued in CA
Practice address
800 S B St Ste 200
San Mateo, CA 94401-4273
Phone
(650) 458-9990
Fax
(650) 458-9977
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63821 CA Primary

Addresses

Primary practice location

800 S B St Ste 200
San Mateo, CA 94401-4273

Mailing address

800 S B St Ste 200
San Mateo, CA 94401-4273
Phone (650) 458-9990

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
63821CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1447635115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S B ST STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014273",
            "telephone_number": "650-458-9990",
            "fax_number": "650-458-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S B ST STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014273",
            "telephone_number": "650-458-9990",
            "fax_number": "650-458-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANHAN",
        "first_name": "NARMEN",
        "middle_name": "JIRIES",
        "name_prefix": "Ms.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.