James T Hansen, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046659 Issued in NY

Practice address

68 Milton Ave
Ballston Spa, NY 12020-1405

Phone

(518) 885-1791

Fax

(518) 885-1147

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spa Dental, PC

  • Dentist
  • Ballston Spa, NY
  • NPI 1700135886
  NPD (past) Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013122357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 DIVISION ST",
            "city": "CHARLTON",
            "state": "NY",
            "postal_code": "120192917",
            "telephone_number": "518-882-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MILTON AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201405",
            "telephone_number": "518-885-1791",
            "fax_number": "518-885-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JAMES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rachel Glasser, DPT
• Erika Grevelding, LCSW
• Jeffrey Scott Grogan, RN
• Gary Owen Guilfoyle, AU.D.
• William Hammer III, PHARMD, MBA
• Erika Lyn Hardeen
• Dawn Marie Hayes
• Mackenzie Heisler, MS, RDN, LDN, CDN
• Coleman Hinman, PHARMD
• Darra Lyn Hotopp, REGISTERED NURSE

• General Practice Dentistry in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.