Organization Active NPI

Leon W. Hansen, MD PC

  • Health Service Clinic/Center
  • Sandy, UT
National Provider Identifier
1124207170
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
171574-1205 Issued in UT
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

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Leon W. Hansen, MDNPI 1841250602
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
528709718013MedicaidUT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.