Active NPI
Christine Eleanor Hansen, DDS
- Dentist
- Palo Alto, CA
National Provider Identifier
1295870665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 45870
- Practice address
- 416 Waverley Street
Suite a
Palo Alto, CA 94301 - Phone
- (650) 326-3290
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 45870 | CA | Primary |
Addresses
Primary practice location
416 Waverley Street
Suite a
Palo Alto, CA 94301
Mailing address
416 Waverley Street
Suite a
Palo Alto, CA 94301
Phone (650) 326-3290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 15, 2015 through Dec 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45870 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1295870665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 WAVERLEY STREET",
"address_2": "SUITE A",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94301",
"telephone_number": "650-326-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 WAVERLEY STREET",
"address_2": "SUITE A",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94301",
"telephone_number": "650-326-3290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "CHRISTINE",
"middle_name": "ELEANOR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "45870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.