Patrick Earl Hannahan, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4381 Issued in AL

Practice address

3602 B Old Shell Rd
Mobile, AL 36608

Phone

(251) 342-1002

Fax

(251) 342-1058

NPI assigned

Aug 31, 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Hannahan Endodontic Group

  • Endodontics
  • Mobile, AL
  • NPI 1013012780
  NPD (past) Authorized official
• Hannahan Endodontic Group

  • Endodontics
  • Mobile, AL
  • NPI 1922567692
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730290677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 B OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-342-1002",
            "fax_number": "251-342-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 B OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-342-1002",
            "fax_number": "251-342-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAHAN",
        "first_name": "PATRICK",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "4381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "855939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51091426",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Z88635",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Hanlon, CRNP
• Claire C Hanna, OTR / L
• Hannahan Endodontic Group
• Hannahan Endodontic Group
• Bridget O. Hannahan, PH.D
• Thomas Herman Hannahan, DMD
• Crystal Hannon
• Jeffrey K Hannon, M.D.
• Paul Hannon, M.D.
• Morgan Novaline Hansell

• Endodontics in Mobile, AL
• Providers in Mobile, AL by specialty
• Endodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.