Active NPI
Leon W. Hansen, MD PC
- Health Service Clinic/Center
- Sandy, UT
National Provider Identifier
1124207170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 171574-1205
- Legal business name
- LEON W. HANSEN, MD PC
- Practice address
- 9600 S 1300 E
300
Sandy, UT 84094-3766 - Phone
- (801) 571-7777
- Fax
- (801) 523-1848
- NPI assigned
- Oct 26, 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
- Dr. Leon W. Hansen, MD
- Title
- Pres
- Phone
- (801) 571-7777
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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 171574-1205 | UT | Primary |
Addresses
Primary practice location
9600 S 1300 E
300
Sandy, UT 84094-3766
Mailing address
9600 S 1300 E
300
Sandy, UT 84094-3766
Phone (801) 571-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528709718013 | Medicaid | UT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Sandy, UT
- NPI 1841250602
-
- Obstetrics & Gynecology Physician
- Sandy, UT
- NPI 1427018290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207267200000",
"number": "1124207170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 S 1300 E",
"address_2": "300",
"city": "SANDY",
"state": "UT",
"postal_code": "840943766",
"telephone_number": "801-571-7777",
"fax_number": "801-523-1848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 S 1300 E",
"address_2": "300",
"city": "SANDY",
"state": "UT",
"postal_code": "840943766",
"telephone_number": "801-571-7777",
"fax_number": "801-523-1848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEON W. HANSEN, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-26",
"last_updated": "2008-04-04",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "LEON",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "801-571-7777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "UT",
"license": "171574-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528709718013",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.