Individual provider Active NPI

Patrick C. Hann, D.D.S.

  • Dentist
  • Skokie, IL
National Provider Identifier
1649225962
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19015994 Issued in IL
Practice address
5550 Touhy Ave Ste 402
Skokie, IL 60077-3227
Phone
(773) 631-5788
Fax
(847) 423-2939
NPI assigned
May 24, 2006
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU
Dentist 122300000X 19015994 IL Primary
General Practice Dentistry 1223G0001X 19015994 IL

Addresses

Primary practice location

5550 Touhy Ave Ste 402
Skokie, IL 60077-3227

Mailing address

5550 Touhy Ave Ste 402
Skokie, IL 60077-3227
Phone (773) 631-5788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150608000785 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1850612482
O20181002002203 IL DME Supplier - Oral Surgery - Dentist 3577815570 Practice locations: Skokie, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19015994ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1649225962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 TOUHY AVE STE 402",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773227",
            "telephone_number": "773-631-5788",
            "fax_number": "847-423-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 TOUHY AVE STE 402",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773227",
            "telephone_number": "773-631-5788",
            "fax_number": "847-423-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANN",
        "first_name": "PATRICK",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19015994",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19015994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.