Individual provider Active NPI

Ted Curtis Hanf, D.O.

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1114221330
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
570 Issued in NV
Practice address
1501 W Sunset Rd
Henderson, NV 89014-6636
Phone
(725) 269-7001
Fax
(725) 269-7003
NPI assigned
Jan 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 570 NV Primary
Family Medicine Physician 207Q00000X N5096 TX

Addresses

Primary practice location

1501 W Sunset Rd
Henderson, NV 89014-6636

Mailing address

102 Woodmont Blvd
Ste 600
Nashville, TN 37205-5250
Phone (615) 315-5257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150904000293 TX Practitioner - Family Practice 8022324136 Reassigns benefits to 1 organization
I20160331001970 NV Practitioner - Family Practice 8022324136 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
570NVMDOptician
N5096TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 27, 2015 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 27, 2015 Accepting new patients
Urgent Care Nevada, LLC CurrentSince Mar 28, 2016 Accepting new patients

Locations

10652 S Eastern Ave
Ste A
Henderson, NV 89052
Phone (702) 476-2040

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1114221330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD",
            "address_2": "STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "615-315-5257",
            "fax_number": "615-692-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W SUNSET RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146636",
            "telephone_number": "725-269-7001",
            "fax_number": "725-269-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANF",
        "first_name": "TED",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "570",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.