Active NPI
Hannahan Endodontic Group
- Endodontics
- Mobile, AL
National Provider Identifier
1922567692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- 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 GROUP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51091426 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 855939 | Other | UNITED CONCORDIA |
National Provider Directory
National Provider Directory- Tax ID family
- Hannahan Endodontic Group
- 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.
-
- Endodontics
- Mobile, AL
- NPI 1013012780
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.
-
- Endodontics
- Mobile, AL
- NPI 1013012780
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Mobile, AL
- NPI 1730290677
-
- Endodontics
- Mobile, AL
- NPI 1770694606
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.