Individual provider Active NPI

Hana Mansoor, DDS

  • Dentist
  • Chandler, AZ
National Provider Identifier
1649362484
Registry record updated Oct 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7257 Issued in AZ
Practice address
2895 S Alma School Rd
Suite 8
Chandler, AZ 85286-4503
Phone
(480) 782-1555
Fax
(480) 782-5111
NPI assigned
Sep 29, 2006
Last updated
Oct 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D7257 AZ Primary

Addresses

Primary practice location

2895 S Alma School Rd
Suite 8
Chandler, AZ 85286-4503

Mailing address

2895 S Alma School Rd
Suite 8
Chandler, AZ 85286-4503
Phone (480) 782-1555

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714001394 AZ Order and Referring Only - DentistPractitioner - Dentist 3971816364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7257AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles by Hanna PLLC Dentist PastSince Mar 24, 2008 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191628800000",
    "number": "1649362484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 S ALMA SCHOOL RD",
            "address_2": "SUITE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864503",
            "telephone_number": "480-782-1555",
            "fax_number": "480-782-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 S ALMA SCHOOL RD",
            "address_2": "SUITE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864503",
            "telephone_number": "480-782-1555",
            "fax_number": "480-782-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOOR",
        "first_name": "HANA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.