Organization Active NPI

Dr Carrie Hansen Inc

  • Dentist
  • Parma Heights, OH
National Provider Identifier
1003029158
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.019363 Issued in OH
Legal business name
DR CARRIE HANSEN INC
Practice address
7057 W 130TH St
Suite 104
Parma Heights, OH 44130-7841
Phone
(440) 887-0550
Fax
(440) 887-0553
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carrie Hansen, DDS
Title
President
Phone
(440) 887-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30.019363 OH Primary

Addresses

Primary practice location

7057 W 130TH St
Suite 104
Parma Heights, OH 44130-7841

Mailing address

7057 W 130TH St
Suite 104
Parma Heights, OH 44130-7841
Phone (440) 887-0550

National Provider Directory

National Provider Directory

Locations

7057 W 130th St
Ste 104
Parma Heights, OH 44130
Phone (440) 887-0550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1003029158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7057 W 130TH ST",
            "address_2": "SUITE 104",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307841",
            "telephone_number": "440-887-0550",
            "fax_number": "440-887-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 W 130TH ST",
            "address_2": "SUITE 104",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307841",
            "telephone_number": "440-887-0550",
            "fax_number": "440-887-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARRIE HANSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-887-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.019363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.