Benjamin Lawrence Hanson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020183 Issued in MI

Practice address

19249 Allen Rd
Brownstown TWP, MI 48183-1189

Phone

(734) 615-8606

NPI assigned

Jun 16, 2010

Last updated

Jul 5, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Lifetime Dental Care of Michigan, P.C.

  dba Jacobson Dental Group

  • General Practice Dentistry
  • Commerce Township, MI
  • NPI 1396555603
  NPD (past)

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1285955070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16866 HORSESHOE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688586",
            "telephone_number": "248-765-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19249 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831189",
            "telephone_number": "734-615-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "BENJAMIN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha K Gupta, MD
• Selima Hadad, DDS
• Carl Richard Haeger, M.D.
• Crystal Hales
• Liliana Hall
• Health Link Home Care, Inc
• Healthpro Heritage Rehab & Fitness, LLC
• Heather Zacur, PC (Zacur Pain Management)
• Henry Ford Hospital
• Henry Ford Wyandotte Hospital (Henry Ford Health Center-Brownstown Pharmacy)

• General Practice Dentistry in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.