Active NPI
Mary Michele Hand, DDS
- Dentist
- Gillette, WY
National Provider Identifier
1962516443
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 20, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 901
- Practice address
- 301 Richards Ave
Gillette, WY 82716-3632 - Phone
- (307) 682-3353
- Fax
- (307) 687-2861
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 901 | WY | Primary |
Addresses
Primary practice location
301 Richards Ave
Gillette, WY 82716-3632
Mailing address
301 Richards Ave
Gillette, WY 82716-3632
Phone (307) 682-3353
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962516443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 RICHARDS AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163632",
"telephone_number": "307-682-3353",
"fax_number": "307-687-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 RICHARDS AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163632",
"telephone_number": "307-682-3353",
"fax_number": "307-687-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAND",
"first_name": "MARY",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.