Individual provider Active NPI

Trisha Diane Hansen, DMD

  • Periodontics
  • Reno, NV
National Provider Identifier
1407148661
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
S4-116C Issued in NV
Practice address
3701 Baker Lane
Suite #2
Reno, NV 89509
Phone
(775) 524-3500
Fax
(775) 524-3501
NPI assigned
May 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X S4-116C NV Primary

Addresses

Primary practice location

3701 Baker Lane
Suite #2
Reno, NV 89509

Mailing address

3701 Baker LN Ste 2
Reno, NV 89509-5441
Phone (775) 524-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 4, 2020 through Dec 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S4-116CNVMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Periodontics, PC Periodontics 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.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1407148661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 BAKER LN STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095441",
            "telephone_number": "775-524-3500",
            "fax_number": "775-524-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 BAKER LANE",
            "address_2": "SUITE #2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-524-3500",
            "fax_number": "775-524-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "TRISHA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4-116C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.