Individual provider Active NPI

Amanda Hanna, D.D.S.

  • Dentist
  • Long Beach, CA
National Provider Identifier
1982096244
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64093 Issued in CA
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

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Amanda Hanna DDS Inc Dentist Current Accepting new patients
Hanna Archie a Professional Dental Corporation Dentist CurrentSince Oct 31, 2021 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.

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.

Verify at the official NPI Registry.