NPI Code Detail JSON Logo

1972027878 NPI number — HANNE DENTAL, INC.

NPI Number: 1972027878
Health Care Provider/Practitioner: HANNE DENTAL, INC.

Information about “1972027878” NPI (HANNE DENTAL, INC.) exists in 1972027878 in HTML format HTML  |  1972027878 in plain Text format TXT  |  1972027878 in PDF (Portable Document Format) PDF  |  1972027878 in an XML format XML  formats.

NPI Number : 1972027878 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972027878",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HANNE DENTAL, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "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": "618-656-9701",
    "FirstLinePracticeLocationAddress": "6655 EDWARDSVILLE CROSSING DR STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EDWARDSVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62025-2708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-972-8655",
    "PracticeLocationAddressFaxNumber": "618-656-9701",
    "EnumerationDate": "08/01/2017",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HANNE",
    "AuthorizedOfficialFirstName": "SHARON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "618-972-8655",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "015867",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": "019.024344",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "019.024344",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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