Active NPI
Greenhorn Family Dentistry LLC
- General Practice Dentistry
- Pueblo, CO
National Provider Identifier
1033054929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- GREENHORN FAMILY DENTISTRY LLC
- Practice address
- 4130 Redwood LN Unit 130
Pueblo, CO 81005-3292 - Phone
- (719) 564-1102
- NPI assigned
- Apr 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Trent Hansen
- Title
- Owner
- Phone
- (316) 300-9114
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
4130 Redwood LN Unit 130
Pueblo, CO 81005-3292
Mailing address
4130 Redwood LN Unit 130
Pueblo, CO 81005-3292
National Provider Directory
National Provider DirectoryPractitioners & 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": "1776643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1033054929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 REDWOOD LN UNIT 130",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810053292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 REDWOOD LN UNIT 130",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810053292",
"telephone_number": "719-564-1102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENHORN FAMILY DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "TRENT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "316-300-9114",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.