Individual provider Active NPI

Arsene Hanana, D.D.S, O.M.F.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1679966808
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
39451 Issued in TX
Practice address
3800 N Shepherd Dr Ste B
Houston, TX 77018-6411
Phone
(713) 510-9475
NPI assigned
Mar 12, 2015
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10680 KY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DR60555141 WA
Student in an Organized Health Care Education/Training Program 390200000X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 39451 TX Primary

Addresses

Primary practice location

3800 N Shepherd Dr Ste B
Houston, TX 77018-6411

Mailing address

3800 N Shepherd Dr Ste B
Houston, TX 77018-6411

Other practice location 1

220 Cassidy Blvd
Pikeville, KY 41501-1426
Phone (832) 433-9313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240730002699 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7012298185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10680KYMDOral and Maxillofacial Surgery (Dentist)
39451TXMDPharmacist
DR60555141WAMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1679966808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N SHEPHERD DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N SHEPHERD DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186411",
            "telephone_number": "713-510-9475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Cassidy Blvd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011426",
            "country_code": "US",
            "telephone_number": "832-433-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANANA",
        "first_name": "ARSENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S, O.M.F.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-12",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "10680",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "DR60555141",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "39451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.