Individual provider Active NPI

Harold R Hanefield, D.D.S.

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1811019342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24454 Issued in CA
Practice address
1115 12TH St
Suite 2a
Sacramento, CA 95814-3903
Phone
(916) 443-6692
Fax
(916) 443-5836
NPI assigned
Apr 4, 2007
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 24454 CA Primary

Addresses

Primary practice location

1115 12TH St
Suite 2a
Sacramento, CA 95814-3903

Mailing address

1115 12TH St
Suite 2a
Sacramento, CA 95814-3903
Phone (916) 443-6692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steele Sacramento Valley Dental Gro General Practice Past Accepting new patients
Harold R. Hanefield D.D.S., Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811019342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 12TH ST",
            "address_2": "SUITE 2A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143903",
            "telephone_number": "916-443-6692",
            "fax_number": "916-443-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 12TH ST",
            "address_2": "SUITE 2A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143903",
            "telephone_number": "916-443-6692",
            "fax_number": "916-443-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEFIELD",
        "first_name": "HAROLD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.