Hanna Archie a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HANNA ARCHIE A PROFESSIONAL DENTAL CORPORATION

Practice address

6616 Cherry Ave
Long Beach, CA 90805-1715

Phone

(562) 630-2262

Fax

(562) 630-2244

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Amanda H Archie, DDS

Title

Owner Dentist

Phone

(562) 630-2262

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Hanna, D.D.S.

  • Dentist
  • Long Beach, CA
  • NPI 1982096244
  NPD
• Maha Hanna, D.D.S.

  • Dentist
  • Long Beach, CA
  • NPI 1205022431
  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1457015943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6616 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908051715",
            "telephone_number": "562-630-2262",
            "fax_number": "562-630-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6616 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908051715",
            "telephone_number": "562-630-2262",
            "fax_number": "562-630-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNA ARCHIE A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "562-630-2262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "64093",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron James Hankins
• Shanitatha D Hankins
• Willard Hankins Jr., DDS
• Evelyn Hanley
• Robert Charles Hanley Sr., HAD
• Hanna Pharmacy Inc
• Hanna Pharmacy Inc
• Amanda Hanna, D.D.S.
• Aria Eve Hanna
• Maha Hanna, D.D.S.

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.