Engage Orthodontics-Hanson SC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ENGAGE ORTHODONTICS-HANSON SC

Practice address

1756 Cardinal LN
Green Bay, WI 54313-7121

Phone

(920) 884-2808

Fax

(920) 884-2966

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

Mark H Hanson, DDS, MS

Title

Doctor/Owner

Phone

(920) 884-2808

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Melanie Hammerbeck, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Green Bay, WI
  • NPI 1831691872
  NPD
• Charles E Montoure, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Green Bay, WI
  • NPI 1083817845
  NPD (past)

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1366026676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 CARDINAL LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543137121",
            "telephone_number": "920-884-2808",
            "fax_number": "920-884-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 CARDINAL LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543137121",
            "telephone_number": "920-884-2808",
            "fax_number": "920-884-2966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Shady Ln",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543139311",
            "country_code": "US",
            "telephone_number": "920-499-3721",
            "fax_number": "920-499-7502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Shady Ln",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543139311",
            "country_code": "US",
            "telephone_number": "920-499-3721",
            "fax_number": "920-499-7502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENGAGE ORTHODONTICS-HANSON SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "920-884-2808",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia R Emnott, PA-C
• Emplify Health Behavioral Health
• Employment Health Services, LLC
• Encore Wisconsin LLC
• Endocrinology Associates of Green Bay SC
• McKenna L Engebose
• Bryan Eric Engel, ATC, LAT
• Kathryn A Engelhardt, AUD.
• Taylor G Englebert, RN
• Michelle Engles

• Orthodontics and Dentofacial Orthopedics Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.