NPIMap

Organization Active NPI

Charles B. Hanna, Jr., D.M.D.

  • General Practice Dentistry
  • Boiling Springs, SC
National Provider Identifier
1871784488
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1847 Issued in SC
Legal business name
CHARLES B. HANNA, JR., D.M.D.
Practice address
1821 Old Furnace Rd
Boiling Springs, SC 29316-7427
Phone
(864) 578-8344
Fax
(864) 578-9255
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Dr. Charles B. Hanna Jr., D.M.D.NPI 1053425546
Title
Dentist
Phone
(864) 578-8344

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1847 SC Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4359 SC

Addresses

Primary practice location

1821 Old Furnace Rd
Boiling Springs, SC 29316-7427

Mailing address

PO Box 161899
Boiling Springs, SC 29316-0032
Phone (864) 578-8344

National Provider Directory

National Provider Directory

Locations

1821 Old Furnace Rd
Boiling Springs, SC 29316
Phone (864) 578-8344

Practitioners & affiliated clinicians

Practitioners 3

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": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1871784488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161899",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293160032",
            "telephone_number": "864-578-8344",
            "fax_number": "864-578-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 OLD FURNACE RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293167427",
            "telephone_number": "864-578-8344",
            "fax_number": "864-578-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B. HANNA, JR., D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-578-8344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1847",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.