Samir Norman Hanania, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012705 Issued in FL

Practice address

14815 Mandarin Rd
Suite 101
Jacksonville, FL 32223-2626

Phone

(904) 260-4250

Fax

(904) 260-6250

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 23, 2015 through Jun 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Samir N Hanania, DMD, PA

  dba Mandarin Dental Professionals

  • Dentist
  • Jacksonville, FL
  • NPI 1831033281
  NPD

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730150012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 MANDARIN RD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232626",
            "telephone_number": "904-260-4250",
            "fax_number": "904-260-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 MANDARIN RD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232626",
            "telephone_number": "904-260-4250",
            "fax_number": "904-260-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANANIA",
        "first_name": "SAMIR",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alexander Hanania, DMD
• Gloria Hanania, LMHC
• Hannah Hanania, APRN
• Rita B Hanania, DC
• Samir Norman Hanania Jr., DMD
• Hanasa Nursing LLC
• Rachel Watford Hanberry, MS CCC-SLP
• Kunal Krishna Hanchate, MD
• Ashley Hancock
• Autumn M Hancock, APRN

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.