Active NPI
Mary Alanna Hanson, DMD
- Public Health Dentistry
- Bethel, AK
National Provider Identifier
1821778010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- D11833
- Practice address
- 528 Chief Eddie Hoffman Hwy
Bethel, AK 99559 - Phone
- (907) 543-6603
- NPI assigned
- Jul 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | D11833 | OR | Primary |
Addresses
Primary practice location
528 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Mailing address
27645 Snyder Rd Unit 41
Junction City, OR 97448-6502
Phone (503) 384-8170
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
| License | State | Type | Specialty |
|---|---|---|---|
| D11833 | OR | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1821778010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27645 SNYDER RD UNIT 41",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974486502",
"telephone_number": "503-384-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 CHIEF EDDIE HOFFMAN HWY",
"city": "BETHEL",
"state": "AK",
"postal_code": "99559",
"telephone_number": "907-543-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "MARY",
"middle_name": "ALANNA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-21",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "OR",
"license": "D11833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.