Mack and Hansen Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MACK AND HANSEN ORTHODONTICS, PLLC

Doing business as

Mack and Hansen Orthodontics

Practice address

1405 Judson Rd
Longview, TX 75601-3918

Phone

(903) 212-7737

Fax

(903) 212-7745

NPI assigned

Sep 24, 2017

Organization subpart

No

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

Authorized official

Name

Spencer McKenzie Mack, DDS, MSD

Title

Owner/Orthodontist

Phone

(903) 212-7737

Specialties & licenses 3

Addresses

Other names 1

• Mack and Hansen Orthodontics Doing business as

Locations

Practitioners 2

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

• Andrew Hansen

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Longview, TX
  • NPI 1942699087
  NPD
• Spencer Mack Hansen

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Longview, TX
  • NPI 1336505635
  NPD

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1033628920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013918",
            "telephone_number": "903-212-7737",
            "fax_number": "903-212-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013918",
            "telephone_number": "903-212-7737",
            "fax_number": "903-212-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK AND HANSEN ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-24",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "MCKENZIE",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "903-212-7737",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "30007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mack and Hansen Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• M.E. Resources, LLC
• M.P. Counseling Services PLLC
• Kimberly L Mabry-Paroline, APRN, NP-C,PMHNP-BC
• Peter J Macander, MD
• Rai Machin, M.A., LPC-INTERN
• Mack Dental
• Baleigh Paige Mack, DDS
• James Andrew Mack, DDS
• John B Mack, MD
• Kelly Wade Mack, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Longview, TX
• Providers in Longview, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.