NPIMap

Organization Active NPI

Jill E. Hansen DDS, PS

  • General Practice Dentistry
  • Gig Harbor, WA
National Provider Identifier
1184840548
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8740 Issued in WA
Legal business name
JILL E. HANSEN DDS, PS
Practice address
6659 Kimball Dr
Suite D401
Gig Harbor, WA 98335-5137
Phone
(253) 858-9169
Fax
(253) 853-6681
NPI assigned
Apr 17, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Jill E Hansen, DDS
Title
President
Phone
(253) 858-9169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8740 WA Primary

Addresses

Primary practice location

6659 Kimball Dr
Suite D401
Gig Harbor, WA 98335-5137

Mailing address

6659 Kimball Dr
Suite D401
Gig Harbor, WA 98335-5137
Phone (253) 858-9169

National Provider Directory

National Provider Directory

Locations

6659 Kimball Dr
Ste D401
Gig Harbor, WA 98335
Phone (253) 858-9169

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1184840548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 KIMBALL DR",
            "address_2": "SUITE D401",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355137",
            "telephone_number": "253-858-9169",
            "fax_number": "253-853-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 KIMBALL DR",
            "address_2": "SUITE D401",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355137",
            "telephone_number": "253-858-9169",
            "fax_number": "253-853-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL E. HANSEN DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-858-9169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.