Active NPI
Chad Kevin Hannibal, DDS
- Pediatric Dentistry
- Sanford, NC
National Provider Identifier
1922682830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 13221
- Practice address
- 1013 Spring LN
Sanford, NC 27330-3459 - Phone
- (919) 718-5561
- NPI assigned
- May 6, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 13221 | NC | Primary |
Addresses
Primary practice location
1013 Spring LN
Sanford, NC 27330-3459
Mailing address
1013 Spring LN
Sanford, NC 27330-3459
Phone (919) 718-5561
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 |
|---|---|---|---|
| 13221 | NC | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1922682830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 SPRING LN",
"city": "SANFORD",
"state": "NC",
"postal_code": "273303459",
"telephone_number": "919-718-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 SPRING LN",
"city": "SANFORD",
"state": "NC",
"postal_code": "273303459",
"telephone_number": "919-718-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNIBAL",
"first_name": "CHAD",
"middle_name": "KEVIN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-06",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "13221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.