Organization Active NPI

Goddard Orthodontics PA

Doing business as Hansen Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Goddard, KS
National Provider Identifier
1114481322
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GODDARD ORTHODONTICS PA
Doing business as
Hansen Orthodontics
Practice address
19931 W Kellogg Dr
Goddard, KS 67052-8863
Phone
(316) 722-6717
NPI assigned
Jan 22, 2019
Last updated
Jan 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Dr. Levi Hansen, DMD, MSNPI 1891164612
Title
Doctor
Phone
(316) 722-6717

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

19931 W Kellogg Dr
Goddard, KS 67052-8863

Mailing address

308 N Harrison Ave
Sedgwick, KS 67135-9477
Phone (316) 652-5321

Other names 1

  • Hansen Orthodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1114481322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N HARRISON AVE",
            "city": "SEDGWICK",
            "state": "KS",
            "postal_code": "671359477",
            "telephone_number": "316-652-5321",
            "fax_number": "316-722-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19931 W KELLOGG DR",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528863",
            "telephone_number": "316-722-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDARD ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "316-722-6717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hansen Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goddard, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.