Individual provider Active NPI

Riad A Hanna, DDS

  • Dentist
  • Point Pleasant, WV
National Provider Identifier
1962578690
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3248 Issued in WV
Practice address
708 Viand St
Point Pleasant, WV 25550-1237
Phone
(304) 675-5600
Fax
(304) 675-6484
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3248 WV Primary

Addresses

Primary practice location

708 Viand St
Point Pleasant, WV 25550-1237

Mailing address

708 Viand St
Point Pleasant, WV 25550-1237
Phone (304) 675-5600

Other practice location 1

3984 Indian Creek Rd
Elkview, WV 25071-9312
Phone (304) 965-2340

Other identifiers 4

IdentifierTypeStateIssuer
0134264000MedicaidWV
3248OtherWVST LIC
0019972MedicaidOH
2184658MedicaidOH

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

Practice roles

OrganizationSpecialtyStatusNew patients
R.a Hanna, DDS Inc. CurrentSince Jun 1, 2021 Accepting new patients

Locations

703 22nd St
Point Pleasant, WV 25550

708 Viand St
Pt Pleasant, WV 25550
Phone (304) 675-3610

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1962578690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 VIAND ST",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501237",
            "telephone_number": "304-675-5600",
            "fax_number": "304-675-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 VIAND ST",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501237",
            "telephone_number": "304-675-5600",
            "fax_number": "304-675-6484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3984 Indian Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Elkview",
            "state": "WV",
            "postal_code": "250719312",
            "country_code": "US",
            "telephone_number": "304-965-2340",
            "fax_number": "304-675-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "RIAD",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134264000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST LIC",
            "identifier": "3248",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019972",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184658",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.