Active NPI
Amanda Hanna, D.D.S.
- Dentist
- Long Beach, CA
National Provider Identifier
1982096244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64093
- Practice address
- 6616 Cherry Ave
Long Beach, CA 90805-1715 - Phone
- (310) 780-0106
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 64093 | CA | Primary |
Addresses
Primary practice location
6616 Cherry Ave
Long Beach, CA 90805-1715
Mailing address
30057 Via Victoria
Rancho Palos Verdes, CA 90275-4435
Phone (310) 780-0106
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanda Hanna DDS Inc | Dentist | Current | Accepting new patients |
| Hanna Archie a Professional Dental Corporation | Dentist | Current | Accepting new patients |
| Cherry Dental | Past | Accepting new patients |
Locations
6616 Cherry Ave
Long Beach, CA 90805
Phone (310) 780-0106
Organizations & group practices 3
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.
-
- Health Maintenance Organization
- Rancho Palos Verdes, CA
- NPI 1467842823
-
- General Practice Dentistry
- Torrance, CA
- NPI 1174287668
-
- General Practice Dentistry
- Long Beach, CA
- NPI 1457015943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1982096244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30057 VIA VICTORIA",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902754435",
"telephone_number": "310-780-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6616 CHERRY AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908051715",
"telephone_number": "310-780-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "AMANDA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.