DR. CHARLES HANNON DDS
NPI 1487002655
Dentist in Wayzata, MN

Q: What is Charles Hannon's NPI number?

The NPI number for Charles Hannon is 1487002655. It was assigned to this individual provider in the NPPES registry on May 29, 2016.

Q: What is Charles Hannon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Hannon was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 29, 2016PECOS Enrolled

1421 WAYZATA BLVD STE 300, WAYZATA, MN 55391(951) 473-1521 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2022, May 9, 2017 (2 updates tracked since 2017).

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About Dr. Charles Hannon Dds NPPES

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

DR. CHARLES HANNON DDS (NPI 1487002655) is an individual dentist in Wayzata, Minnesota, licensed in Minnesota (D13658) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487002655

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CHARLES HANNONCredential: DDS

Location Address1421 WAYZATA BLVD STE 300Wayzata, MN 55391-4109

Mailing Address1421 Wayzata Blvd Ste 300Wayzata, MN 55391-4109 · (952) 473-1521

Phone(951) 473-1521

Sole ProprietorNo

Enumeration DateMay 29, 2016

Last NPPES UpdateApril 21, 20222 updates tracked since enumeration

NPPES CertifiedApril 21, 2022

✔ NPI 1487002655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D13658

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.

1421 WAYZATA BLVD STE 300, Wayzata, MN 55391

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Charles Hannon 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 55391 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

HANNON DENTAL, P.L.L.C.

Clinic/Center (Dental)

1421 WAYZATA BLVD STE 300
WAYZATA, MN 55391

Hennepin County (952) 473-1521

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 Charles Hannon's NPI number?

The NPI number for Charles Hannon is 1487002655. It was assigned to this individual provider in the NPPES registry on May 29, 2016.

Where is Charles Hannon located?

Charles Hannon practices at 1421 Wayzata Blvd Ste 300, Wayzata, MN 55391. The listed phone number is (951) 473-1521.

What is Charles Hannon's specialty?

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

Is Charles Hannon enrolled in Medicare?

Yes. Charles Hannon is registered in the Medicare PECOS enrollment system.

What insurance does Charles Hannon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Charles 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 Charles Hannon was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.