Active NPI
Scott Reed Hannon, DDS
- General Practice Dentistry
- Yuma, AZ
National Provider Identifier
1881807204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1994
- Practice address
- 1375 W. 16TH Street
Suite a
Yuma, AZ 85364 - Phone
- (928) 782-3881
- Fax
- (928) 539-7115
- NPI assigned
- May 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1994 | AZ | Primary |
Addresses
Primary practice location
1375 W. 16TH Street
Suite a
Yuma, AZ 85364
Mailing address
1375 W. 16TH Street
Suite a
Yuma, AZ 85364
Phone (928) 782-3881
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 |
|---|---|---|---|
| 1994 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1881807204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 W. 16TH STREET",
"address_2": "SUITE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-782-3881",
"fax_number": "928-539-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 W. 16TH STREET",
"address_2": "SUITE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-782-3881",
"fax_number": "928-539-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNON",
"first_name": "SCOTT",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "1994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.