Individual provider Active NPI

Paul Max Hanysz, D.D.S.

  • General Practice Dentistry
  • East Lansing, MI
National Provider Identifier
1841270287
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014417 Issued in MI
Practice address
604 Michigan Ave
East Lansing, MI 48823-4219
Phone
(517) 332-8665
Fax
(517) 332-1036
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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 2901014417 MI Primary

Addresses

Primary practice location

604 Michigan Ave
East Lansing, MI 48823-4219

Mailing address

604 Michigan Ave
East Lansing, MI 48823-4219
Phone (517) 332-8665

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1841270287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MICHIGAN AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234219",
            "telephone_number": "517-332-8665",
            "fax_number": "517-332-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MICHIGAN AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234219",
            "telephone_number": "517-332-8665",
            "fax_number": "517-332-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANYSZ",
        "first_name": "PAUL",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.