Individual provider Active NPI

Michelle Marie Hanke, RDH

  • Dental Hygienist
  • Lexington, KY
National Provider Identifier
1811290513
Registry record updated Dec 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
3817 Issued in KY
Practice address
4393 Jasmine Rose Way
Lexington, KY 40515-6351
Phone
(859) 948-4474
NPI assigned
Dec 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 3817 KY Primary
Dental Hygienist 124Q00000X H5779 OR

Addresses

Primary practice location

4393 Jasmine Rose Way
Lexington, KY 40515-6351

Mailing address

4393 Jasmine Rose Way
Lexington, KY 40515-6351
Phone (859) 948-4474

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
3817KYMDDental Hygienist
H5779ORMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1292716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292716800000",
    "number": "1811290513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4393 JASMINE ROSE WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156351",
            "telephone_number": "859-948-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4393 JASMINE ROSE WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156351",
            "telephone_number": "859-948-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKE",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-19",
        "last_updated": "2010-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KY",
            "license": "3817",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H5779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2010; 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.