Michael R Hanley DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401006683 Issued in VA

Legal business name

MICHAEL R HANLEY DDS

Practice address

13295 Rivers Bend Blvd
Chester, VA 23836-8610

Phone

(804) 530-3539

Fax

(804) 530-5617

NPI assigned

May 2, 2016

Organization subpart

Yes

Parent organization

CENTRAL VIRGINIA DENTAL CAREAs reported in NPPES

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

Authorized official

Name

Dr. Michael Raymond Hanley, D.D.S.NPI 1912092958

Title

Dentist Owner

Phone

(804) 530-3539

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Russell Mosher DDS PC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Raymond Hanley, DDS

  • Dentist
  • Chester, VA
  • NPI 1912092958
  NPD Authorized official

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1558716282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13295 RIVERS BEND BLVD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238368610",
            "telephone_number": "804-530-3539",
            "fax_number": "804-530-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13295 RIVERS BEND BLVD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238368610",
            "telephone_number": "804-530-3539",
            "fax_number": "804-530-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R HANLEY DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
        "enumeration_date": "2016-05-02",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "804-530-3539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179583",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christopher Miller, M.D.

• Dentist in Chester, VA
• Providers in Chester, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.