NPI Code Detail JSON Logo

1649317702 NPI number — SHARON E HANNE DMD

NPI Number: 1649317702
Health Care Provider/Practitioner: SHARON E HANNE DMD

Information about “1649317702” NPI (SHARON E HANNE DMD) exists in 1649317702 in HTML format HTML  |  1649317702 in plain Text format TXT  |  1649317702 in PDF (Portable Document Format) PDF  |  1649317702 in an XML format XML  formats.

NPI Number : 1649317702 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649317702",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANNE",
    "FirstName": "SHARON",
    "MiddleName": "E",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6655 EDWARDSVILLE CROSSING DR STE D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDWARDSVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62025-2708",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-972-8655",
    "MailingAddressFaxNumber": "618-692-6975",
    "FirstLinePracticeLocationAddress": "6655 EDWARDSVILLE CROSSING DR STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EDWARDSVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62025-2708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-972-8655",
    "PracticeLocationAddressFaxNumber": "618-692-6975",
    "EnumerationDate": "01/30/2007",
    "LastUpdateDate": "10/22/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "015867",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "019.024344",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.