Active NPI
David Christian Hansen, D.D.S.
- Endodontics
- Iowa City, IA
National Provider Identifier
1326259912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 7162
- Practice address
- 2814 Northgate Dr
Suite 1
Iowa City, IA 52245-9513 - Phone
- (319) 351-6622
- Fax
- (319) 351-2696
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 7162 | IA | Primary |
Addresses
Primary practice location
2814 Northgate Dr
Suite 1
Iowa City, IA 52245-9513
Mailing address
2814 Northgate Dr
Suite 1
Iowa City, IA 52245-9513
Phone (319) 351-6622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7162 | IA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontic Associates of Iowa City PC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endodontics
- Iowa City, IA
- NPI 1629280193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326259912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 NORTHGATE DR",
"address_2": "SUITE 1",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522459513",
"telephone_number": "319-351-6622",
"fax_number": "319-351-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 NORTHGATE DR",
"address_2": "SUITE 1",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522459513",
"telephone_number": "319-351-6622",
"fax_number": "319-351-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "DAVID",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IA",
"license": "7162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.