Cory Hansen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

180475 Issued in AK

Practice address

634 B St
Anchorage, AK 99505-6650

Phone

(907) 361-6028

NPI assigned

Sep 21, 2021

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2024.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1174294136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 B ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995056650",
            "telephone_number": "907-361-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 B ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995056650",
            "telephone_number": "907-361-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "180475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaele Jane Hannam
• Elizabeth Hannon, DMD
• Susan Song Hannula
• Marilyn Hansen-Larson
• Cortney Hansen, MSW
• Kaleigh Hansen
• Karen A Hansen
• Karl R Hansen, MD
• Kristin Hansen, LCSW
• Melinda M Hansen, M.D.

• All providers in Anchorage, AK
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.