Active NPI
Hansen Family Dental PLLC
- General Practice Dentistry
- Pasco, WA
National Provider Identifier
1114045937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10263
- Legal business name
- HANSEN FAMILY DENTAL PLLC
- Practice address
- 6615 W Argent Rd
Pasco, WA 99301-1905 - Phone
- (509) 547-9951
- Fax
- (509) 547-3008
- NPI assigned
- Mar 27, 2007
- 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
- James R Hansen, DMD
- Title
- Owner
- Phone
- (509) 547-9951
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 | 10263 | WA | Primary |
Addresses
Primary practice location
6615 W Argent Rd
Pasco, WA 99301-1905
Mailing address
6615 W Argent Rd
Pasco, WA 99301-1905
Phone (509) 547-9951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5052253 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6615 W Argent Rd
Pasco, WA 99301
Phone (509) 547-9951
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pasco, WA
- NPI 1184856999
-
- General Practice Dentistry
- Pasco, WA
- NPI 1902470347
-
- Dentist
- Kennewick, WA
- NPI 1508351651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1114045937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6615 W ARGENT RD",
"city": "PASCO",
"state": "WA",
"postal_code": "993011905",
"telephone_number": "509-547-9951",
"fax_number": "509-547-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6615 W ARGENT RD",
"city": "PASCO",
"state": "WA",
"postal_code": "993011905",
"telephone_number": "509-547-9951",
"fax_number": "509-547-3008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANSEN FAMILY DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-547-9951",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "10263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5052253",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.