Henrik E. Hansen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS27525 Issued in CA

Practice address

1700 Pennsylvania Ave #C
Fairfield, CA 94533-3510

Phone

(707) 429-2633

Fax

(707) 402-6633

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1194780007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE #C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333510",
            "telephone_number": "707-429-2633",
            "fax_number": "707-402-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE #C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333510",
            "telephone_number": "707-429-2633",
            "fax_number": "707-402-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "HENRIK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS27525",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Wayne Hancock, ADC
• Wallace Wayne Hancock, DDS
• Micaela Languerand Hankes, RN
• Kelsey Nicole Hanley, M.S., CCC-SLP
• Ciara Hanna
• Amany Issa Hararah
• Grace Harbin, LMFT #94425
• Jaime Lee Hardcastle
• Christopher Davis Hardy
• Austin Harebottle

• General Practice Dentistry in Fairfield, CA
• Providers in Fairfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.