Active NPI
Daniel J Hansen
- Gastroenterology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- M-17810
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2017 - Phone
- (214) 820-2361
- NPI assigned
- May 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | M-17810 | ID | Primary |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Mailing address
3500 Gaston Ave
Dallas, TX 75246-2017
Other practice location 1
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
Other practice location 2
2401 S 31st St
Temple, TX 76508-2017
Phone (254) 724-8845
Other practice location 3
1919 Lincoln Way Ste 415
Coeur D Alene, ID 83814-2527
Phone (208) 625-4595
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhansen780584@direct.multicare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Texas Tech University Health Science Center School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 Lincoln Way
Suite 415
Coeur D Alene, ID 83814-2527
Phone (208) 625-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 89.26
- Promoting interoperability
- 69.9
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 85 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 190 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Past | Accepting new patients |
Locations
1919 Lincoln Way
Ste 415
Coeur D Alene, ID 83814
Phone (208) 625-4595
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
Interoperability endpoints
- dhansen332147@direct.sw.org
- dhansen780584@direct.multicare.org
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
-
- Community/Retail Pharmacy
- Hayden, ID
- NPI 1235986290
-
- Psychiatric Hospital Unit
- Coeur D Alene, ID
- NPI 1568567360
-
- Emergency Medicine Physician
- Coeur D Alene, ID
- NPI 1235288655
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1023508355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-2361"
}
],
"practiceLocations": [
{
"address_1": "2003 Kootenai Health Way",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838146051",
"country_code": "US",
"telephone_number": "208-625-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 S 31st St",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765082017",
"country_code": "US",
"telephone_number": "254-724-8845",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1919 Lincoln Way Ste 415",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838142527",
"country_code": "US",
"telephone_number": "208-625-4595",
"fax_number": "208-625-4596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "DANIEL",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-11",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ID",
"license": "M-17810",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dhansen780584@direct.multicare.org",
"affiliation": "N",
"address_1": "1919 Lincoln Way Ste 415",
"city": "Coeur D Alene",
"state": "ID",
"country_code": "US",
"postal_code": "838142527",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.