Active NPI
George Hanna, DMD
- Dentist
- Socorro, NM
National Provider Identifier
1881755825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD4651
- Practice address
- 204B Neel Avenue
Socorro, NM 87801 - Phone
- (575) 993-5032
- Fax
- (505) 226-9697
- NPI assigned
- Dec 13, 2006
- Last updated
- May 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | DD4651 | NM | |
| Dentist | 122300000X | DS036503 | PA | |
| Dentist | 122300000X | DD4651 | NM | Primary |
| Dentist | 122300000X | 0401411035 | VA |
Addresses
Primary practice location
204B Neel Avenue
Socorro, NM 87801
Mailing address
204B Neel Avenue
Socorro, NM 87801
Phone (575) 993-5032
Other practice location 1
2200 Grande Blvd SE Ste A
Rio Rancho, NM 87124-1695
Phone (505) 891-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89223829 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://socorrodental.setmore.com/ | Direct |
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 |
|---|---|---|---|
| DD4651 | NM | MD | Dentist |
| DS036503 | PA | MD | Dentist |
| 0401411035 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Dentistry LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Socorro, NM
- NPI 1366101305
-
- Dentist
- Socorro, NM
- NPI 1316691850
-
- Dentist
- Socorro, NM
- NPI 1932643038
-
dba Rio Rancho Dental Associates
- General Practice Dentistry
- Rio Rancho, NM
- NPI 1972166262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1881755825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204B NEEL AVENUE",
"city": "SOCORRO",
"state": "NM",
"postal_code": "87801",
"telephone_number": "575-993-5032",
"fax_number": "505-226-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204B NEEL AVENUE",
"city": "SOCORRO",
"state": "NM",
"postal_code": "87801",
"telephone_number": "575-993-5032",
"fax_number": "505-226-9697"
}
],
"practiceLocations": [
{
"address_1": "2200 Grande Blvd SE Ste A",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871241695",
"country_code": "US",
"telephone_number": "505-891-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NM",
"license": "DD4651",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS036503",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD4651",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401411035",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89223829",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://socorrodental.setmore.com/",
"affiliation": "N",
"endpointDescription": "WEBSITE",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "204B Neel Avenue",
"city": "Socorro",
"state": "NM",
"country_code": "US",
"postal_code": "87801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.