Fred Norman Hanosh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24792 Issued in CA

Practice address

6161 Clark Road Suite 8
Paradise, CA 95969

Phone

(530) 872-1020

Fax

(530) 877-7555

NPI assigned

Oct 3, 2006

Last updated

Apr 12, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Fred Hanosh D.D.S. Professional Corporation

  • General Practice Dentistry
  • Paradise, CA
  • NPI 1467653105
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1730274275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 CLARK ROAD SUITE 8",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-872-1020",
            "fax_number": "530-877-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 CLARK ROAD SUITE 8",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-872-1020",
            "fax_number": "530-877-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANOSH",
        "first_name": "FRED",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Hamm, LEP
• Michelle Ann Hammack-Burns, CPHT
• Steven William Hammang, PSYCH TECH
• Ross H Hanchett, M.D.
• Hanger Prosthetics & Orthotics West Inc
• Scott Hanosh, D.D.S.
• Kendra Marie Harder, LVN
• Heidi Jo Harlow, FNP
• Manching Lam Harriman
• Teryl Yvonne Harris, LVN

• General Practice Dentistry in Paradise, CA
• Providers in Paradise, 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 Apr 12, 2023; 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.