Organization Active NPI

Hikmat J Hannawi PC

  • Dentist
  • Attleboro, MA
National Provider Identifier
1710188693
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19763 Issued in MA
Legal business name
HIKMAT J HANNAWI PC
Practice address
550 N Main St
Suite #1
Attleboro, MA 02703-1735
Phone
(508) 222-2510
Fax
(508) 222-3903
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Hikmat Gabriel Hannawi, D.M.D
Title
President
Phone
(508) 222-2510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19763 MA Primary

Addresses

Primary practice location

550 N Main St
Suite #1
Attleboro, MA 02703-1735

Mailing address

550 N Main St
Suite #1
Attleboro, MA 02703-1735
Phone (508) 222-2510

Other identifiers 10

IdentifierTypeStateIssuer
19763OtherMAMETLIFE DENTAL
89461OtherMADHA
MOOOX11292OtherMABCBS OF RI
HAX 11292OtherMABCBS OF MASS
0299961MedicaidMA
19763OtherMAALTUS DENTAL
19763OtherMACIGNA PPO
19763OtherMADELTA DENTAL OF MASS
19763OtherMAUNICARE
19763OtherMAGURDIAN DENTAL

Other names 1

  • Attleboro Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

550 N Main St
Ste 1
Attleboro, MA 02703
Phone (508) 222-2510

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1710188693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST",
            "address_2": "SUITE #1",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031735",
            "telephone_number": "508-222-2510",
            "fax_number": "508-222-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST",
            "address_2": "SUITE #1",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031735",
            "telephone_number": "508-222-2510",
            "fax_number": "508-222-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIKMAT J HANNAWI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "HANNAWI",
        "authorized_official_first_name": "HIKMAT",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-222-2510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "19763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METLIFE DENTAL",
            "identifier": "19763",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHA",
            "identifier": "89461",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "MOOOX11292",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "HAX 11292",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0299961",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTUS DENTAL",
            "identifier": "19763",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "19763",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF MASS",
            "identifier": "19763",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "19763",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GURDIAN DENTAL",
            "identifier": "19763",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Attleboro Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.