NPIMap

Organization Active NPI

Hanna Hanania DDS,PC

  • Dentist
  • Woodbridge, VA
National Provider Identifier
1699153619
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410445 Issued in VA
Legal business name
HANNA HANANIA DDS,PC
Practice address
4319 Dale Blvd
Woodbridge, VA 22193-2401
Phone
(703) 897-8554
Fax
(703) 897-9615
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Mrs. Christal Lynn Allen-Roark
Title
Practice Administrator
Phone
(703) 897-8554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401410445 VA Primary

Addresses

Primary practice location

4319 Dale Blvd
Woodbridge, VA 22193-2401

Mailing address

4319 Dale Blvd
Woodbridge, VA 22193-2401
Phone (703) 897-8554

National Provider Directory

National Provider Directory

Locations

4319 Dale Blvd
Woodbridge, VA
Phone (703) 897-8554

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1699153619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932401",
            "telephone_number": "703-897-8554",
            "fax_number": "703-897-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932401",
            "telephone_number": "703-897-8554",
            "fax_number": "703-897-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNA HANANIA DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN-ROARK",
        "authorized_official_first_name": "CHRISTAL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-897-8554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.