Active NPI
John Paul Hansen, DDS
- Dentist
- Roseville, CA
National Provider Identifier
1164513834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42473
- Practice address
- 2350 Professional Dr
Suite 200
Roseville, CA 95661-7747 - Phone
- (916) 774-1605
- Fax
- (916) 774-9437
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42473 | CA | Primary |
Addresses
Primary practice location
2350 Professional Dr
Suite 200
Roseville, CA 95661-7747
Mailing address
2350 Professional Dr
Suite 200
Roseville, CA 95661-7747
Phone (916) 774-1605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42473 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Better Sacramento Inc. | Dentist | Current | Accepting new patients |
Locations
2350 Professional Dr
Ste 200
Roseville, CA 95661
Phone (916) 768-7592
Organizations & group practices 1
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": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1164513834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 PROFESSIONAL DR",
"address_2": "SUITE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617747",
"telephone_number": "916-774-1605",
"fax_number": "916-774-9437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 PROFESSIONAL DR",
"address_2": "SUITE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617747",
"telephone_number": "916-774-1605",
"fax_number": "916-774-9437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.