Harlan Roy Hanson – Contractor in Byron, MN

Key facts

NPI: 1043008709
Entity type: Individual (NPI type 1)
Primary specialty: Contractor 171W00000X
License: BC808137 (MN)
Practice address: 1524 7TH St NE
Byron, MN 55920-6016
Phone: (507) 512-9013
NPI assigned: Apr 30, 2025
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
BC808137	MN	MD	Home Modifications Contractor

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Modifications Contractor	171WH0202X	BC808137	MN
Contractor Group: 193200000X MULTI-SPECIALTY GROUP	171W00000X	BC808137	MN	Yes

Addresses

Primary practice location

1524 7TH St NE
Byron, MN 55920-6016

Mailing address

1524 7TH St NE
Byron, MN 55920-6016
Phone (507) 512-9013

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 9, 2025.

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1043008709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 7TH ST NE",
            "city": "BYRON",
            "state": "MN",
            "postal_code": "559206016",
            "telephone_number": "507-512-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 7TH ST NE",
            "city": "BYRON",
            "state": "MN",
            "postal_code": "559206016",
            "telephone_number": "507-512-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "HARLAN",
        "middle_name": "ROY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "MN",
            "license": "BC808137",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "MN",
            "license": "BC808137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, MN

All providers in Byron, MN · Contractor in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.