Stephen Ralph Hansen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00011047 Issued in WA

Practice address

1530 S Union Ave Ste 7
Tacoma, WA 98405-1954

Phone

(253) 752-7755

Fax

(253) 756-5659

NPI assigned

Aug 17, 2007

Last updated

May 31, 2016By the provider in NPPES

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 WA

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

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1235321878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 S 15TH ST",
            "address_2": "STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051955",
            "telephone_number": "253-752-7755",
            "fax_number": "253-756-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S UNION AVE STE 7",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051954",
            "telephone_number": "253-752-7755",
            "fax_number": "253-756-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "STEPHEN",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00011047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Hansen, PAC
• John Oscar Hansen, D.C.
• Lindsay D Hansen
• Scott Eric Hansen, ARNP
• Sheryl Marie Hansen, D.C.
• Thomas James Hansen
• Trenton James Hansen, M.D.
• Julana Hansmeier, ARNP
• Amy Axt Hanson, LMT
• Inga B. Hanson

• General Practice Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.