David A Hanna, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0776G Issued in WI

Practice address

2601 W Mequon Rd
Mequon, WI 53092-3151

Phone

(262) 242-1180

Fax

(262) 242-0930

NPI assigned

May 21, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Shore Dental Group S.C.

  • General Practice Dentistry
  • Mequon, WI
  • NPI 1093868523
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497964134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W MEQUON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923151",
            "telephone_number": "262-242-1180",
            "fax_number": "262-242-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W MEQUON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923151",
            "telephone_number": "262-242-1180",
            "fax_number": "262-242-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "0776G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "0776G",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33551700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Hammond
• Hand Doctors of Milwaukee, S.C.
• Lisa M Haney, APNP
• Hanger Prosthetics & Orthotics East Inc
• Danielle Hanley, PSY.D.
• Mary Alice Hanneken, P.T.
• Elizabeth Lynn Hansen, PSYD
• Lisa Lee Hanson, RD
• Stephanie Allyce Hanson, HIS
• Patricia Mary Harkensee, OTR

• Dentist in Mequon, WI
• Providers in Mequon, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.