Active NPI
Olando St. Clare Hanson, OLANDO HANSON
- General Practice Dentistry
- Alexandria, VA
National Provider Identifier
1568517878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401414635
- Practice address
- 5130 Duke St Ste 4
Alexandria, VA 22304-2955 - Phone
- (703) 370-6500
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 052202 | NY | |
| General Practice Dentistry | 1223G0001X | 0401414635 | VA | Primary |
Addresses
Primary practice location
5130 Duke St Ste 4
Alexandria, VA 22304-2955
Mailing address
3451 Quaker CT
Falls Church, VA 22042-3911
Phone (716) 400-2098
Other practice location 1
13320 Franklin Farm Rd
Herndon, VA 20171-4092
Phone (703) 870-7675
Other names 1
- Dr. Olando St. Clare Hanson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052202 | NY | MD | General Practice Dentistry |
| 0401414635 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Dental, P.C. | General Practice | Current | Accepting new patients |
Locations
5130 Duke St
Ste 4
Alexandria, VA 22304
Phone (703) 370-6500
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.
-
- General Practice Dentistry
- Alexandria, VA
- NPI 1922865781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1568517878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 QUAKER CT",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423911",
"telephone_number": "716-400-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 DUKE ST STE 4",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042955",
"telephone_number": "703-370-6500"
}
],
"practiceLocations": [
{
"address_1": "13320 Franklin Farm Rd",
"address_purpose": "LOCATION",
"city": "Herndon",
"state": "VA",
"postal_code": "201714092",
"country_code": "US",
"telephone_number": "703-870-7675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "OLANDO",
"middle_name": "ST. CLARE",
"name_prefix": "Dr.",
"credential": "OLANDO HANSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052202",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401414635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLANDO",
"last_name": "HANSON",
"middle_name": "ST. CLARE",
"prefix": "DR.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.