Ann Miriam Hazan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

50-054558 Issued in NY

Practice address

22 Park St
Canton, NY 13617-1365

Phone

(315) 386-3886

Fax

(315) 386-1844

NPI assigned

Aug 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1992937429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PARK ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171365",
            "telephone_number": "315-386-3886",
            "fax_number": "315-386-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PARK ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171365",
            "telephone_number": "315-386-3886",
            "fax_number": "315-386-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZAN",
        "first_name": "ANN",
        "middle_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50-054558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Ann Hargrave, FNP-C
• Nancy Linn Harrington, NP
• Tracy Hart, CRPA-P
• Andrea Hayden
• Amber Lee Haynes, FNP
• Healey Medical Practice, PLLC
• Gregory Healey, MD
• Tiffany Rose Hecht
• H M Chathuran Wikum Herath
• Michael Joseph Herzog, LCSW-R

• All providers in Canton, NY
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.