Preston Hansen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

34887 Issued in TX

Practice address

1825 Crystal Falls Pkwy Ste 130
Leander, TX 78641

Phone

(737) 777-3325

NPI assigned

Jun 9, 2017

Last updated

Dec 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Renken Dentistry of Texas PLLC

  • Dental Clinic/Center
  • Georgetown, TX
  • NPI 1487173266
  NPD (past)
• Renken Dentistry of Texas PLLC

  • General Practice Dentistry
  • Leander, TX
  • NPI 1922527787
  NPD (past)

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1265961478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 CRYSTAL FALLS PKWY STE 130",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414041",
            "telephone_number": "737-777-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CRYSTAL FALLS PKWY STE 130",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "78641",
            "telephone_number": "737-777-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Asylum Ave Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051702",
            "country_code": "US",
            "telephone_number": "860-714-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Riverdale St",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "01089",
            "country_code": "US",
            "telephone_number": "413-737-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Riverdale St",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "01089",
            "country_code": "US",
            "telephone_number": "413-737-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2511 N Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "TX",
            "postal_code": "765131554",
            "country_code": "US",
            "telephone_number": "254-613-2159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5725 Williams Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786332216",
            "country_code": "US",
            "telephone_number": "512-863-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857884",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "12153",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Leander, TX
• Providers in Leander, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.