Robert Patrick Hannon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8891 Issued in MN

Practice address

4080 W Broadway Ave
Robbinsdale, MN 55422-5604

Phone

(763) 535-3511

Fax

(952) 545-1811

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477649101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 HAMPSHIRE AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453245",
            "telephone_number": "763-424-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 W BROADWAY AVE",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225604",
            "telephone_number": "763-535-3511",
            "fax_number": "952-545-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "ROBERT",
        "middle_name": "PATRICK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R Hagstrom, MD
• Emily Lynne Hahn-Carlson, MA
• Joy M Larsen Haidle, M.S., C.G.C.
• Trisha N. Halvorsen, MD
• Deborah Onstad Haney, RNC, NP
• Gail Marie Hansen, PA C
• Kristin R Hanson, M.D.
• Laura Kristen Hanvelt, PA-C
• Matthew Brian Hartz, MD, MPH
• Hass Enterprises, Inc. (North Drug)

• General Practice Dentistry in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.