NPIMap

Organization Active NPI

Guy M. Hanson, DDS, PA

  • Clinic/Center
  • Boise, ID
National Provider Identifier
1003858630
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
D1850 Issued in ID
Legal business name
GUY M. HANSON, DDS, PA
Practice address
9203 W Overland Rd
Boise, ID 83709-2502
Phone
(208) 375-1012
Fax
(208) 375-1098
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Guy Matthew Hanson, DDS
Title
Owner
Phone
(208) 375-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X D1850 ID Primary

Addresses

Primary practice location

9203 W Overland Rd
Boise, ID 83709-2502

Mailing address

9203 W Overland Rd
Boise, ID 83709-2502
Phone (208) 375-1012

National Provider Directory

National Provider Directory
Tax ID family
Guy M Hanson DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9203 W Overland Rd
Boise, ID 83709
Phone (208) 375-1012

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003858630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9203 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092502",
            "telephone_number": "208-375-1012",
            "fax_number": "208-375-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092502",
            "telephone_number": "208-375-1012",
            "fax_number": "208-375-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY M. HANSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-375-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "D1850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.