Individual provider Active NPI

Hannah Sutherland, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1487213955
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39427 Issued in TX
Practice address
9703 Bandera Rd Ste 210
San Antonio, TX 78250-5622
Phone
(210) 864-0086
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39427 TX Primary

Addresses

Primary practice location

9703 Bandera Rd Ste 210
San Antonio, TX 78250-5622

Mailing address

4464 Stonegate Dr Apt G
Beavercreek, OH 45430-6602
Phone (941) 773-1561

Other practice location 1

3286 Pentagon Park Blvd
Beavercreek, OH 45431
Phone (937) 701-7105

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
39427TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1487213955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 STONEGATE DR APT G",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454306602",
            "telephone_number": "941-773-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9703 BANDERA RD STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505622",
            "telephone_number": "210-864-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3286 Pentagon Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "45431",
            "country_code": "US",
            "telephone_number": "937-701-7105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.