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DR. DOUGLAS CLARK HANNAH DDS
NPI 1184707580
Dentist in Fairmont, WV

Active since October 23, 2006PECOS Enrolled
1520 COUNTRY CLUB RD, FAIRMONT, WV 26554(304) 363-9160(304) 363-3693 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas Clark Hannah Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS CLARK HANNAH DDS (NPI 1184707580) is an individual dentist in Fairmont, West Virginia, licensed in West Virginia (3162) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184707580
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DOUGLAS CLARK HANNAHCredential: DDS
Location Address1520 COUNTRY CLUB RDFairmont, WV 26554
Mailing Address1520 Country Club RdFairmont, WV 26554 · (304) 363-9160 · Fax (304) 363-3693
Phone(304) 363-9160
Fax(304) 363-3693
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184707580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WV · 3162
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1520 COUNTRY CLUB RD, Fairmont, WV 26554
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Other Identifiers 1

Medicaid0134011000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Clark Hannah Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTRY CLUB DENTAL PLLC
Dentist (General Practice)
1520 COUNTRY CLUB RD
FAIRMONT, WV 26554
Marion County (304) 363-9160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Hannah's NPI number?

The NPI number for Douglas Hannah is 1184707580. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Douglas Hannah located?

Douglas Hannah practices at 1520 Country Club Rd, Fairmont, WV 26554. The listed phone number is (304) 363-9160.

What is Douglas Hannah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Douglas Hannah enrolled in Medicare?

Yes. Douglas Hannah is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Hannah accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Douglas Hannah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Hannah was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.