Individual provider Active NPI

John Webb Hankla, DMD

  • Dentist
  • Danville, KY
National Provider Identifier
1912099367
Registry record updated Dec 12, 2012
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
KY5008 Issued in KY
Practice address
1000 East Lexington Ave
Greenleaf Shopping Center Ste 35
Danville, KY 40423-0476
Phone
(859) 236-2243
Fax
(859) 238-4186
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X KY5008 KY Primary

Addresses

Primary practice location

1000 East Lexington Ave
Greenleaf Shopping Center Ste 35
Danville, KY 40423-0476

Mailing address

PO Box 476
1000 East Lexington Ave Greenleaf Shopping Ctr Ste 35
Danville, KY 40423-0476
Phone (859) 236-2243

Other identifiers 1

IdentifierTypeStateIssuer
60050085MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20160606001845 KY Order and Referring Only - DentistPractitioner - Dentist 7719277623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY5008KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1912099367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "address_2": "1000 EAST LEXINGTON AVE GREENLEAF SHOPPING CTR STE 35",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404230476",
            "telephone_number": "859-236-2243",
            "fax_number": "859-238-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST LEXINGTON AVE",
            "address_2": "GREENLEAF SHOPPING CENTER STE 35",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404230476",
            "telephone_number": "859-236-2243",
            "fax_number": "859-238-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKLA",
        "first_name": "JOHN",
        "middle_name": "WEBB",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "KY5008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60050085",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.