Individual provider Active NPI

Hanne V Hollenbeck, DMD

  • General Practice Dentistry
  • Murrysville, PA
National Provider Identifier
1518002690
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
05029269L Issued in PA
Practice address
3907 Old William Penn Hwy
Suite 403
Murrysville, PA 15668-1833
Phone
(724) 327-3080
Fax
(724) 327-3067
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 05029269L PA Primary

Addresses

Primary practice location

3907 Old William Penn Hwy
Suite 403
Murrysville, PA 15668-1833

Mailing address

3907 Old William Penn Hwy
Murrysville, PA 15668
Phone (724) 327-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716000520 PA Order and Referring Only - DentistPractitioner - Dentist 4183937428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05029269LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hanne V Hollenbeck Dentistry PC General Practice Past Accepting new patients

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1518002690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 OLD WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "15668",
            "telephone_number": "724-327-3080",
            "fax_number": "724-327-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 OLD WILLIAM PENN HWY",
            "address_2": "SUITE 403",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681833",
            "telephone_number": "724-327-3080",
            "fax_number": "724-327-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "HANNE",
        "middle_name": "V",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "05029269L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

Verify at the official NPI Registry.