Danial Joel Hanlon

Primary specialty

DentistTaxonomy code 122300000X

License

7226 Issued in NE

Practice address

510 W 12TH St
Imperial, NE 69033-3200

Phone

(308) 882-5123

Fax

(308) 882-5141

NPI assigned

Jun 16, 2015

Last updated

Oct 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Justin Moody PC

  dba Horizon West Dental

  • Dentist
  • Crawford, NE
  • NPI 1346317757
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1629459532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690331408",
            "telephone_number": "308-882-5123",
            "fax_number": "308-882-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W 12TH ST",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690333200",
            "telephone_number": "308-882-5123",
            "fax_number": "308-882-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLON",
        "first_name": "DANIAL",
        "middle_name": "JOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7226",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Crayton
• Marissa Dreiling, OTD, OTR/L
• Kerri Mae Forcella, PA-C
• Larissa Ann Gerhartz, P.T.A
• Great Plains N Urology PC
• Dianne Harms, RPH
• Nicole M Havel, PA
• Kala Sue Holmes
• Ashley Holscher, DPT
• Hometown Development (Hometown Pharmacy)

• Dentist in Imperial, NE
• Providers in Imperial, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.