Michael Raymond Hanley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401006683 Issued in VA

Practice address

13295 Rivers Bend Blvd
Chester, VA 23836-8610

Phone

(804) 530-3539

Fax

(804) 530-5617

NPI assigned

Oct 4, 2006

Last updated

Feb 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Michael R Hanley DDS

  • Dentist
  • Chester, VA
  • NPI 1558716282
  NPD Authorized official
• Michael R Hanley DDS, LTD

  dba Hanley Family Dentistry, PLLC

  • General Practice Dentistry
  • Chester, VA
  • NPI 1356893325
  NPD Authorized official
• Central Virginia Dental Care PLC

  dba Hanley Family Dentistry PLLC

  • General Practice Dentistry
  • Chester, VA
  • NPI 1598401820
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1912092958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 HOGANS ALY",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238362696",
            "telephone_number": "804-530-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13295 RIVERS BEND BLVD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238368610",
            "telephone_number": "804-530-3539",
            "fax_number": "804-530-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "MICHAEL",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "187470",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA NFS",
            "identifier": "812840",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179583",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirk Hallett
• Linda Hamilton
• Jessica Merle Hamlett, LPC
• Hampton's Transportation Service
• Ann Sodat Hanford
• Peter Freeman Hanley, DMD
• Mary E Harlow, LMT
• Lynn Harmon, MS OTR/L
• Christina Faith Harper, NP-C
• Natascha Sophia Harris, RN

• Dentist in Chester, VA
• Providers in Chester, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.