Organization Active NPI

Hannahan Endodontic Group

  • Endodontics
  • Mobile, AL
National Provider Identifier
1922567692
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
HANNAHAN ENDODONTIC GROUP
Practice address
3602B Old Shell Rd
Mobile, AL 36608-1307
Phone
(251) 342-1002
Fax
(251) 342-1058
NPI assigned
Mar 13, 2019
Organization subpart
Yes
Parent organization
HANNAHAN ENDODONTIC GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Cindy Norden
Title
Office Manager
Phone
(251) 342-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

3602B Old Shell Rd
Mobile, AL 36608-1307

Mailing address

3602B Old Shell Rd
Mobile, AL 36608-1307
Phone (251) 342-1002

Other identifiers 2

IdentifierTypeStateIssuer
51091426OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
855939OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory
Tax ID family
Hannahan Endodontic Group2 organizations share this tax ID, including this one
Part of
Hannahan Endodontic Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3602 Old Shell Rd
Unit B
Mobile, AL 36608
Phone (251) 342-1002

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1922567692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602B OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081307",
            "telephone_number": "251-342-1002",
            "fax_number": "251-342-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602B OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081307",
            "telephone_number": "251-342-1002",
            "fax_number": "251-342-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAHAN ENDODONTIC GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANNAHAN ENDODONTIC GROUP",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "NORDEN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-342-1002"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51091426",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "855939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.