Rebecca Ann Hanson, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11705 Issued in MN

Practice address

1411 W Saint Germain St
Suite 104
Saint Cloud, MN 56301-4121

Phone

(320) 255-1111

Fax

(320) 255-1602

NPI assigned

Dec 5, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Central Minnesota Orthodontica

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saint Cloud, MN
  • NPI 1720146111
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063570505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W SAINT GERMAIN ST",
            "address_2": "SUITE 104",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014121",
            "telephone_number": "320-255-1111",
            "fax_number": "320-255-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W SAINT GERMAIN ST",
            "address_2": "SUITE 104",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014121",
            "telephone_number": "320-255-1111",
            "fax_number": "320-255-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "11705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Hanson, FNP-BC
• Kathleen Annette Hanson, LICSW
• Kelly Christine Hanson, DO
• Mary Lou Hanson, BS, RN, CNP
• Paige Caroline Hanson
• Ronald Hanson, MD
• Cindy A T Happe, MSW LICSW
• Julie Anne Happe, M.D.
• Kori Happke, RN
• Christopher S Harbaugh, OTRL

• Orthodontics and Dentofacial Orthopedics Dentistry in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.