Individual provider Active NPI

Bella Hanono, DDS, MPH

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1558418699
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11087 Issued in GA
Practice address
3155 N Point Pkwy
Building G Suite 200
Alpharetta, GA 30005-5481
Phone
(770) 343-4052
Fax
(770) 752-5246
NPI assigned
Jan 4, 2007
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16775 TX
General Practice Dentistry 1223G0001X 11087 GA Primary

Addresses

Primary practice location

3155 N Point Pkwy
Building G Suite 200
Alpharetta, GA 30005-5481

Mailing address

3155 N Point Pkwy
Building G Suite 200
Alpharetta, GA 30005-5481
Phone (770) 343-4052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160211001252 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173827136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11087GAMDGeneral Practice Dentistry
16775TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1558418699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY",
            "address_2": "BUILDING G SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055481",
            "telephone_number": "770-343-4052",
            "fax_number": "770-752-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY",
            "address_2": "BUILDING G SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055481",
            "telephone_number": "770-343-4052",
            "fax_number": "770-752-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANONO",
        "first_name": "BELLA",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16775",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.