Thomas M Hanson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10610 Issued in MN

Practice address

1100 Highway 25 N Ste 1
Buffalo, MN 55313-2024

Phone

(763) 682-9796

Fax

(763) 682-4821

NPI assigned

Jul 14, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thomas M Hanson DDS PA

  • General Practice Dentistry
  • Buffalo, MN
  • NPI 1871663831
  NPD (past) Authorized official

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1154550945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 25 N STE 1",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132024",
            "telephone_number": "763-682-9796",
            "fax_number": "763-682-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 25 N STE 1",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132024",
            "telephone_number": "763-682-9796",
            "fax_number": "763-682-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha A Hamann, MD
• Erik D. Hanson, PA-C
• Erin Lynn Hanson
• Heidi Hanson, LADC
• Megan Hanson, PT, DPT
• Hannah Harding
• Dana Jon Harms, M.D.
• Brian M Harrison, DC
• Mark Roy Harstad, RN
• Kristin Marie Hart, RN

• General Practice Dentistry in Buffalo, MN
• Providers in Buffalo, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.