Individual provider Active NPI

Terry John Hanley, D.M.D.

  • Dentist
  • Tempe, AZ
National Provider Identifier
1558304121
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
AZ2518 Issued in AZ
Practice address
1050 E Southern Ave
Suite #6
Tempe, AZ 85282-5403
Phone
(480) 829-1466
Fax
(480) 829-1467
NPI assigned
Jun 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X AZ2518 AZ Primary

Addresses

Primary practice location

1050 E Southern Ave
Suite #6
Tempe, AZ 85282-5403

Mailing address

1050 E Southern Ave
Suite #6
Tempe, AZ 85282-5403
Phone (480) 829-1466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260526002336 AZ Practitioner - Dentist 0941501498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Washington University School of Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1050 E Southern Ave
Suite 6
Tempe, AZ 85282-5403

7500 N Dreamy Draw Dr
Suite 145
Phoenix, AZ 85020-4668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ2518AZMDDentist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558304121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E SOUTHERN AVE",
            "address_2": "SUITE #6",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825403",
            "telephone_number": "480-829-1466",
            "fax_number": "480-829-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E SOUTHERN AVE",
            "address_2": "SUITE #6",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825403",
            "telephone_number": "480-829-1466",
            "fax_number": "480-829-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "TERRY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ2518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.