Individual provider Active NPI

Harveen Dhillon Hans, DDS

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1215295175
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19297 Issued in TX
Practice address
5428 Basswood Blvd.
Ft. Worth, TX 76137-4400
Phone
(817) 788-7700
Fax
(817) 281-0055
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19297 TX Primary

Addresses

Primary practice location

5428 Basswood Blvd.
Ft. Worth, TX 76137-4400

Mailing address

5428 Basswood Blvd.
Ft. Worth, TX 76137-4400
Phone (817) 788-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170213002505 TX Order and Referring Only - DentistPractitioner - Dentist 4587947734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Basswood Family Dental PA Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1215295175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 BASSWOOD BLVD.",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "761374400",
            "telephone_number": "817-788-7700",
            "fax_number": "817-281-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 BASSWOOD BLVD.",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "761374400",
            "telephone_number": "817-788-7700",
            "fax_number": "817-281-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANS",
        "first_name": "HARVEEN",
        "middle_name": "DHILLON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.