Brandon Najeeb Hanna

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110227 Issued in CA

Practice address

11147 Lalani Dr
La Mesa, CA 91941-8209

Phone

(619) 402-5896

NPI assigned

May 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Brandon Hanna DMD, Inc.

  • Dental Clinic/Center
  • National City, CA
  • NPI 1790596658
  NPD Authorized official

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1710678917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11147 LALANI DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919418209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11147 LALANI DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919418209",
            "telephone_number": "619-402-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "BRANDON",
        "middle_name": "NAJEEB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erwin C Handley, MD
• Emily Fay Handy
• Hanger Prosthetics & Orthotics West Inc
• Hanger Prosthetics & Orthotics West, Inc.
• Hannah Hanks
• Ronnie Hannosh, PHARMD
• Galen H. Hansen, MD
• Peter B Hanson, MD
• Susan Haradon, PHD
• David Harari, M.D.

• General Practice Dentistry in La Mesa, CA
• Providers in La Mesa, 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 21, 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.