Thomas Edward Hanson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25898 Issued in CA

Practice address

3840 Woodruff Ave
Suite 202
Long Beach, CA 90808-2143

Phone

(562) 421-9411

Fax

(562) 421-9433

NPI assigned

May 31, 2013

Last updated

May 31, 2013By 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 CA

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

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas E. Hanson D.D.S.,Inc.

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1467661025
  Authorized official Same address or phone

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1255778130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 WOODRUFF AVE",
            "address_2": "SUITE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082143",
            "telephone_number": "562-421-9411",
            "fax_number": "562-421-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 WOODRUFF AVE",
            "address_2": "SUITE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082143",
            "telephone_number": "562-421-9411",
            "fax_number": "562-421-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanie Hansen
• Robert Hanser, DO
• Ashley Thuy Hanson, PA-C
• Kimberly Lynn Hanson, RN
• Thomas Hanson, PSY.D.
• Happy Body Inc.
• Happy Days CMHC
• Harneet K Hara, M.D.
• Odeni Haratonian
• Harbor Community Clinic Inc.

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, 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 May 31, 2013; 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.