Individual provider Active NPI

Michael J Hanrahan, D.D.S.

  • General Practice Dentistry
  • Garden Grove, CA
National Provider Identifier
1992910137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27625 Issued in CA
Practice address
13732 Euclid St
Garden Grove, CA 92843-3419
Phone
(714) 530-0921
Fax
(714) 530-1663
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27625 CA Primary

Addresses

Primary practice location

13732 Euclid St
Garden Grove, CA 92843-3419

Mailing address

13732 Euclid St
Garden Grove, CA 92843-3419
Phone (714) 530-0921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160607000479 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4981994738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27625CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vahid Einolllahi General Practice Past Accepting new patients
Fenghua Fu D.D.S., a Professional Corporation General Practice Past Accepting new patients

Organizations & group practices 2

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992910137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13732 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433419",
            "telephone_number": "714-530-0921",
            "fax_number": "714-530-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13732 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433419",
            "telephone_number": "714-530-0921",
            "fax_number": "714-530-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANRAHAN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.