Thomas Herman Hannahan, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4511 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

Last updated

Jul 8, 2007By 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

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

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.

• Hannahan Endodontic Group

  • Endodontics
  • Mobile, AL
  • NPI 1013012780
  NPD (past)
• 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": "1770694606",
    "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": "THOMAS",
        "middle_name": "HERMAN",
        "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": "4511",
            "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 BLUE SHIELD",
            "identifier": "51092547",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS",
            "identifier": "288635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire C Hanna, OTR / L
• Hannahan Endodontic Group
• Hannahan Endodontic Group
• Bridget O. Hannahan, PH.D
• Patrick Earl Hannahan, DMD
• Crystal Hannon
• Jeffrey K Hannon, M.D.
• Paul Hannon, M.D.
• Morgan Novaline Hansell
• Caleb Frazier Hanson, PA-C, ATC

• 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.