Douglas L. Hansen, D.D.S. LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DOUGLAS L. HANSEN, D.D.S. LLC

Practice address

629 E Star CT
Montrose, CO 81401-6701

Phone

(970) 249-3330

Fax

(970) 249-4171

NPI assigned

Oct 5, 2006

Last updated

Aug 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas P Heiner, D.D.SNPI 1467685636

Title

Manageing Partner

Phone

(970) 249-3330

Specialties & licenses 1

Addresses

Locations

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.

• Nicholas Preston Heiner, D.D.S.

  • Dentist
  • Montrose, CO
  • NPI 1467685636
  Authorized official Same address or phone

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1265528285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016701",
            "telephone_number": "970-249-3330",
            "fax_number": "970-249-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016701",
            "telephone_number": "970-249-3330",
            "fax_number": "970-249-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L. HANSEN, D.D.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "HEINER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGEING PARTNER",
        "authorized_official_telephone_number": "970-249-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Montrose, CO
• Providers in Montrose, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.