Organization Active NPI

Dr. Neil a. Hansen, DDS

  • Dentist
  • Bellevue, WA
National Provider Identifier
1215242219
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5576 Issued in WA
Legal business name
DR. NEIL A. HANSEN, DDS
Practice address
12330 NE 8TH St
Suite 200
Bellevue, WA 98005
Phone
(425) 455-0442
NPI assigned
Aug 13, 2010
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Neil HansenNPI 1689783623
Title
Dentist
Phone
(425) 455-0442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5576 WA Primary

Addresses

Primary practice location

12330 NE 8TH St
Suite 200
Bellevue, WA 98005

Mailing address

12330 NE 8TH St
Suite 200
Bellevue, WA 98005-3187
Phone (425) 455-0442

Other identifiers 1

IdentifierTypeStateIssuer
1689783623OtherDENTIST

National Provider Directory

National Provider Directory

Locations

12330 NE 8th St
Ste 200
Bellevue, WA 98005
Phone (425) 455-0442

Practitioners & affiliated clinicians

Practitioners 1

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": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1215242219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 NE 8TH ST",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053187",
            "telephone_number": "425-455-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 NE 8TH ST",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-455-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NEIL A. HANSEN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-455-0442"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "5576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1689783623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.