Organization Active NPI

Merkel, Hansen & Ford PLLC

  • General Practice Dentistry
  • Renton, WA
National Provider Identifier
1265709398
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60169584 Issued in WA
Legal business name
MERKEL, HANSEN & FORD PLLC
Practice address
10700 SE 174TH St
Suite 202
Renton, WA 98055-5472
Phone
(425) 228-3420
Fax
(425) 228-3773
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Dr. Justin Hansen, D.D.SNPI 1669785432
Title
Partner
Phone
(206) 948-8427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60169584 WA Primary

Addresses

Primary practice location

10700 SE 174TH St
Suite 202
Renton, WA 98055-5472

Mailing address

10700 SE 174TH St
Suite 202
Renton, WA 98055-5472
Phone (425) 228-3420

Other names 1

  • Renton Dental Arts Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1265709398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SE 174TH ST",
            "address_2": "SUITE 202",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555472",
            "telephone_number": "425-228-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SE 174TH ST",
            "address_2": "SUITE 202",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555472",
            "telephone_number": "425-228-3420",
            "fax_number": "425-228-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERKEL, HANSEN & FORD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "206-948-8427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60169584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renton Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.