John Hannah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110086 Issued in CA

Practice address

635 Mikkelsen Dr
Auburn, CA 95603-3914

Phone

(530) 885-5696

NPI assigned

Jul 17, 2023

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• David H. Roholt, D.D.S., Inc.

  dba Pier 210 Dental Group

  • Dentist
  • Auburn, CA
  • NPI 1023197019
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1689353724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MIKKELSEN DRIVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-885-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MIKKELSEN DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033914",
            "telephone_number": "530-885-5696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 Uinta Dr",
            "address_purpose": "LOCATION",
            "city": "Green River",
            "state": "WY",
            "postal_code": "829355056",
            "country_code": "US",
            "telephone_number": "307-875-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110086",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110086",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Elizabeth Hamburg
• Jordan A Hamilton, PHD
• Abigail Grace Hanaway
• Hanger Prosthetics & Orthotics West, Inc.
• Neil Hanna
• Roxanne Hanohano, LMFT
• Dennis James Hanson, O.D.
• Kirk M Hanson, D.D.S.
• Joshua D Hantman, M.D.
• Hardenbrook Chiropractic, Inc

• General Practice Dentistry in Auburn, CA
• Providers in Auburn, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.