Organization Active NPI

Hannonpiazzaddspllc

  • General Practice Dentistry
  • Kenmore, NY
National Provider Identifier
1841501103
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046318 Issued in NY
Legal business name
HANNONPIAZZADDSPLLC
Practice address
39 Delaware Rd
Kenmore, NY 14217-2742
Phone
(716) 874-9981
Fax
(716) 873-5839
NPI assigned
Jul 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Timothy James Hannon, DDSNPI 1114066727
Title
Dentist/Partner
Phone
(716) 874-9981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 046318 NY Primary

Addresses

Primary practice location

39 Delaware Rd
Kenmore, NY 14217-2742

Mailing address

39 Delaware Rd
Kenmore, NY 14217-2742
Phone (716) 874-9981

Other identifiers 1

IdentifierTypeStateIssuer
02259061MedicaidNY

National Provider Directory

National Provider Directory

Locations

39 Delaware Rd
Kenmore, NY 14217
Phone (716) 874-9981

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1841501103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 DELAWARE RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172742",
            "telephone_number": "716-874-9981",
            "fax_number": "716-873-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DELAWARE RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172742",
            "telephone_number": "716-874-9981",
            "fax_number": "716-873-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNONPIAZZADDSPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST/PARTNER",
        "authorized_official_telephone_number": "716-874-9981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02259061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.