Active NPI
William R Hanna, D.D.S.
- Dentist
- Fort Worth, TX
National Provider Identifier
1902922099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12447
- Practice address
- 1124 S Lake St
Suite a
Fort Worth, TX 76104-4313 - Phone
- (817) 332-9393
- Fax
- (817) 332-9340
- NPI assigned
- Mar 21, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12447 | TX | Primary |
Addresses
Primary practice location
1124 S Lake St
Suite a
Fort Worth, TX 76104-4313
Mailing address
1124 S Lake St
Suite a
Fort Worth, TX 76104-4313
Phone (817) 332-9393
Other names 1
- Dr. Bill Hanna
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 |
|---|---|---|---|
| 12447 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1902922099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 S LAKE ST",
"address_2": "SUITE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044313",
"telephone_number": "817-332-9393",
"fax_number": "817-332-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 S LAKE ST",
"address_2": "SUITE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044313",
"telephone_number": "817-332-9393",
"fax_number": "817-332-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "12447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BILL",
"last_name": "HANNA",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.