Individual provider Active NPI

Charles Albert Hanby, DDS

  • General Practice Dentistry
  • Springdale, AR
National Provider Identifier
1760562565
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2082 Issued in AR
Practice address
2707 W Huntsville Ave
Springdale, AR 72762-7723
Phone
(479) 756-8631
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2082 AR Primary

Addresses

Primary practice location

2707 W Huntsville Ave
Springdale, AR 72762-7723

Mailing address

2707 W Huntsville Ave
Springdale, AR 72762-7723
Phone (479) 756-8631

Other identifiers 3

IdentifierTypeStateIssuer
1303179OtherARUNITED CONCORDIA
58250OtherARBCBS
2082OtherARDELTA DENTAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2082ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a. Hanby DDS PC General Practice Past Accepting new patients
James S. Parham, D.D.S. P.a. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760562565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 W HUNTSVILLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627723",
            "telephone_number": "479-756-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 W HUNTSVILLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627723",
            "telephone_number": "479-756-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANBY",
        "first_name": "CHARLES",
        "middle_name": "ALBERT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1303179",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58250",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "2082",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.