Organization Active NPI

Hansen&Hansen DDS LDT

  • General Practice Dentistry
  • Hanover Park, IL
National Provider Identifier
1003993742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HANSEN&HANSEN DDS LDT
Practice address
7212 Edgebrook LN
Hanover Park, IL 60133-3751
Phone
(630) 837-3700
Fax
(630) 837-3849
NPI assigned
Nov 1, 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
Mrs. Kathy M Hansen, DDS
Title
General Dentist
Phone
(630) 837-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

7212 Edgebrook LN
Hanover Park, IL 60133-3751

Mailing address

7212 Edgebrook LN
Hanover Park, IL 60133-3751
Phone (630) 837-3700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003993742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 EDGEBROOK LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333751",
            "telephone_number": "630-837-3700",
            "fax_number": "630-837-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 EDGEBROOK LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333751",
            "telephone_number": "630-837-3700",
            "fax_number": "630-837-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN&HANSEN DDS LDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "630-837-3700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

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.