Englewood Dentist LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ENGLEWOOD DENTIST LLC

Practice address

115 Grand Ave
Englewood, NJ 07631-3654

Phone

(201) 304-7077

Fax

(201) 304-7077

NPI assigned

Mar 2, 2023

Last updated

Mar 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Hanna, DMDNPI 1275094278

Title

Owner

Phone

(551) 200-1939

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Hanna, DMD

  • Dentist
  • Paramus, NJ
  • NPI 1275094278
  NPD Authorized official

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1447959044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313654",
            "telephone_number": "201-304-7077",
            "fax_number": "201-304-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313654",
            "telephone_number": "201-304-7077",
            "fax_number": "201-304-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-200-1939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "22DI02759600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Englewood Chiropractic Center
• Englewood City Public Schools
• Englewood Dental Arts LLC
• Englewood Dental, PA
• Englewood Dental, PA
• Englewood Dermatology Center
• Englewood Dermatology Center (Lenis Gonzalez, M.D.)
• Englewood Ear Nose & Throat PC
• Englewood Eye Associates P.a. (Englewood Eye Associates)
• Englewood Eye Center, LLC

• Dentist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.