Dylan Joseph Hann, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

7772 Issued in AZ

Practice address

5300 S Sutter Dr Ste 1
Show Low, AZ 85901-8055

Phone

(928) 532-7546

Fax

(928) 532-7547

NPI assigned

Jan 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamblin Dermatology PLLCGroup PAC ID 2264744374, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Hamblin Dermatology PLLC

  • Dermatology Physician
  • Show Low, AZ
  • NPI 1568851350
  Medicare reassignment Care Compare group
• HW Dermatology PLLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1750800033
  NPD (past)

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1639718869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1792",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852361792",
            "telephone_number": "928-532-7546",
            "fax_number": "928-532-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SUTTER DR STE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018055",
            "telephone_number": "928-532-7546",
            "fax_number": "928-532-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANN",
        "first_name": "DYLAN",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "7772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Hamblin, D.O.
• Hammerhead Anesthesia Inc
• Barbara S Hamrick, NP
• Brennon Lewayne Hancock, DMD
• Hanger Prosthetics & Orthotics West Inc
• Kimberly Ann Hansen, FNP
• Mason Swede Hansen
• Jaskiranjit Hanson, FNP-BC
• Kathleen Hanson, MA
• Nicole Ann Hanson

• Medical Physician Assistant in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.