Chris John Hansen, DDS, FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

WI3184 Issued in WI

Practice address

1415 North 8TH Street
Manitowoc, WI 54220-2051

Phone

(920) 684-0123

Fax

(920) 682-7374

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386752970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 NORTH 8TH STREET",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202051",
            "telephone_number": "920-684-0123",
            "fax_number": "920-682-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NORTH 8TH STREET",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202051",
            "telephone_number": "920-684-0123",
            "fax_number": "920-682-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CHRIS",
        "middle_name": "JOHN",
        "credential": "DDS, FAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "WI3184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33456500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica M.a. Hall, DDS
• Tanya Hall
• Lou Hang
• Hanger Prosthetics & Orthotics East Inc
• Bethany Hannon, MA, LAT
• Douglas Alan Hansen, M.D.
• Judith Hanson
• Peter Michael Hanson, DDS
• Beverly Faye Hardiman
• Harmony Personal Home Care, LLC

• General Practice Dentistry in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• 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.