Paul B. Hansen, D.D.S., Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22155 Issued in CA

Legal business name

PAUL B. HANSEN, D.D.S., INC.

Practice address

130 Park Ave
Merced, CA 95348-3421

Phone

(209) 722-2764

Fax

(209) 722-4861

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Helen Franklin

Title

Office Manager

Phone

(209) 722-2764

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174720882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PARK AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483421",
            "telephone_number": "209-722-2764",
            "fax_number": "209-722-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PARK AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483421",
            "telephone_number": "209-722-2764",
            "fax_number": "209-722-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL B. HANSEN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-722-2764",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "22155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Patino
• Raymond Patino, CADC-II CA
• Alesia Marie Patterson
• Anyhea Shante Patterson
• Phyllis A Patterson
• Paul C. Tsai M.D. & Dolores O. Tan Inc.
• Sherri Ann Paul, LVN
• Kenneth Tiea Pay, PHARMD
• Dennis Frank Payne, DDS
• Sarah Payne

• Oral and Maxillofacial Surgery (Dentist) in Merced, CA
• Providers in Merced, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.