Kayla Dawn Hanna, DDS

Key facts

NPI

1992357008

Entity type

Individual (NPI type 1)

Primary specialty

Dentist 122300000X

License

61624 (KS)

Practice address

6703 S Louise Ave
Sioux Falls, SD 57108-5982

Phone

(605) 271-9330

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

Yes

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.

• Abb Dental LLC General Practice Dentistry · Pleasant Hill, MO · NPI 1124955778
  NPD Authorized official
• Embrace First Class LLC Dentist · Sioux Falls, SD · NPI 1366375156
  NPD (past) DENTIST
• Zachary J. Beecroft, D.D.S., P.C. Dentist · Sioux Falls, SD · NPI 1396079844
  NPD (past) DENTIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 16, 2020.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1992357008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640930711",
            "telephone_number": "785-443-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 S LOUISE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085982",
            "telephone_number": "605-271-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "KAYLA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher G Hanley, MD
• Lauren Elizabeth Hanlon, SOCIAL WORKER
• Alex James Hannemann, MD
• Ajit Vallabhdas Hansalia, M.D.
• Brenda Hansen-Mayer, L.P.C.
• Alicia Marie Berger Hansen, D.D.S.
• Ashley Marie Hansen, PHARM.D.

All providers in Sioux Falls, SD · Dentist in South Dakota