DR. JEREMY MARK HANNON D.M.D.
NPI 1457545063
Dentist - Oral and Maxillofacial Surgery in Kaneohe, HI
About Dr. Jeremy Mark Hannon D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEREMY MARK HANNON D.M.D. (NPI 1457545063) is an individual oral and maxillofacial surgery provider in Kaneohe, Hawaii, licensed in Hawaii (DT2297) and active in the NPI registry since August 2007. He has opted out of Medicare through September 5, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jeremy Mark Hannon D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 5, 2017 through September 5, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96744 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jeremy Hannon's NPI number?
The NPI number for Jeremy Hannon is 1457545063. It was assigned to this individual provider in the NPPES registry on August 28, 2007.
Where is Jeremy Hannon located?
Jeremy Hannon practices at 45-1144 Kamehameha Hwy Ste #301, Kaneohe, HI 96744. The listed phone number is (808) 230-8000.
What is Jeremy Hannon's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Jeremy Hannon enrolled in Medicare?
No. Jeremy Hannon has opted out of Medicare through September 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Jeremy Hannon accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Jeremy Hannon 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 Jeremy Hannon was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Jeremy Mark Hannon, D.M.D. · NPI 1457545063
Oral and Maxillofacial Surgery provider in Kaneohe, Hawaii. Individual provider, active in the CMS NPPES registry since August 28, 2007.
## Identity
- **NPI:** 1457545063 (Entity type: Individual)
- **Enumerated:** August 28, 2007
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DT2297 (Hawaii)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 45-1144 KAMEHAMEHA HWY STE #301, Kaneohe, HI 96744
- **Phone:** (808) 230-8000
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 5, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** October 30, 2012
- **Other identifiers:** Medicare PIN A400054740; Medicaid 696908 (HI); Medicaid 03388570 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1457545063) · Data from the CMS NPPES public registry.