Isaac Leon Hanset, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104930 Issued in CA

Practice address

1201 SE 223Rd Ave Ste 260
Gresham, OR 97030-2580

Phone

(503) 661-2828

Fax

(503) 618-9874

NPI assigned

Oct 21, 2020

Sex

Male

Sole proprietor

No

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 OR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Isaac Hanset, DMD, LLC

  • Dental Clinic/Center
  • Gresham, OR
  • NPI 1225775976
  NPD Authorized official
• Kwon Dentistry, LLC

  • General Practice Dentistry
  • Gresham, OR
  • NPI 1851666903
  NPD
• William H. Schmunk D.D.S.

  • Dentist
  • McArthur, CA
  • NPI 1194939306
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1184223166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE STE 260",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302580",
            "telephone_number": "503-661-2828",
            "fax_number": "503-618-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE STE 260",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302580",
            "telephone_number": "503-661-2828",
            "fax_number": "503-618-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSET",
        "first_name": "ISAAC",
        "middle_name": "LEON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2022-07-18",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cady Yu Louise Handley, LICSW
• Catherine Hannigan
• Jonathan M Hansel, DC MD
• Cathryn Hansen, REGISTERED NURSE
• Scott S Hansen, D.M.D.
• Amy Lynn Hanson, D.C.
• Hardin Orthodontics
• Tod M Hardin, DMD, PC
• Jessica Anne Hargadine
• Grant Harmon, MD

• General Practice Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.