Hailu Mehanzel, DMD
NPI 1245672716 · General Practice Dentistry · Stockton, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hailu Mehanzel, DMD is a General Practice Dentistry provider in Stockton, CA (NPI 1245672716).
Provider details
- NPI number
- 1245672716
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 62284 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-24
- Last updated
- 2016-02-05
Frequently asked questions
- What is Hailu Mehanzel's NPI number?
- Hailu Mehanzel's National Provider Identifier (NPI) is 1245672716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hailu Mehanzel's specialty?
- Hailu Mehanzel is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Hailu Mehanzel located?
- Hailu Mehanzel's practice location on file with NPPES is 1031 Waterloo Rd, Stockton, CA 95205-4256.
- What is Hailu Mehanzel's phone number?
- The practice phone number listed in the NPPES registry for Hailu Mehanzel is (209) 940-5600.
- Does Hailu Mehanzel accept Medicare?
- Hailu Mehanzel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hailu Mehanzel's NPI active?
- Yes — Hailu Mehanzel's NPI (1245672716) is active in the NPPES registry as of the last update on 2016-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.