Active NPI
Timothy Earl Hansen, D.O.
- Pain Medicine Physician
- Albuquerque, NM
National Provider Identifier
1427092592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- A-964-99
- Practice address
- 3860 Masthead St NE
Albuquerque, NM 87109-4479 - Phone
- (505) 828-1010
- Fax
- (505) 796-9051
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | A-964-99 | NM | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A-964-99 | NM |
Addresses
Primary practice location
3860 Masthead St NE
Albuquerque, NM 87109-4479
Mailing address
3860 Masthead St NE
Albuquerque, NM 87109-4479
Phone (505) 828-1010
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-964-99 | NM | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1427092592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 MASTHEAD ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094479",
"telephone_number": "505-828-1010",
"fax_number": "505-796-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 MASTHEAD ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094479",
"telephone_number": "505-828-1010",
"fax_number": "505-796-9051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "TIMOTHY",
"middle_name": "EARL",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NM",
"license": "A-964-99",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NM",
"license": "A-964-99",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.