John D Hanna, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5050 Issued in OR

Practice address

8 N State St
Suite 203
Lake Oswego, OR 97034-3956

Phone

(503) 635-3483

Fax

(503) 699-0345

NPI assigned

Aug 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669484648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N STATE ST",
            "address_2": "SUITE 203",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343956",
            "telephone_number": "503-635-3483",
            "fax_number": "503-699-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N STATE ST",
            "address_2": "SUITE 203",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343956",
            "telephone_number": "503-635-3483",
            "fax_number": "503-699-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "5050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085845",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy R. Hampton, PHARM.D., PA-C
• Jee Young Han, DMD
• Kari Hancock, MD
• Hand Surgery Associates Northwest
• Hands of Gold, LLC
• Kristine Kae Hanna, PHD
• Taylor Genevieve Hansen
• Emily Hanson, PT, DPT
• Walter Ray Hardin, D.O.
• Joan Mary Hardy, L.P.C.

• Pediatric Dentistry in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.