Individual provider Active NPI

Meagan Elizabeth Hanney, DMD

  • Dentist
  • Springfield, IL
National Provider Identifier
1457070096
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.033730 Issued in IL
Practice address
2809 Mansion Rd Ste D
Springfield, IL 62711-6811
Phone
(217) 697-5190
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.033730 IL Primary

Addresses

Primary practice location

2809 Mansion Rd Ste D
Springfield, IL 62711-6811

Mailing address

2809 Mansion Rd Ste D
Springfield, IL 62711-6811

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
019.033730ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Schon Dental, LLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

2809 Mansion Rd
Ste D
Springfield, IL 62711
Phone (217) 697-5190

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1457070096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 MANSION RD STE D",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 MANSION RD STE D",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116811",
            "telephone_number": "217-697-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNEY",
        "first_name": "MEAGAN",
        "middle_name": "ELIZABETH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.