Matthew Robert Hansen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

08042 Issued in IA

Practice address

23 N Federal Ave
Mason City, IA 50401-3250

Phone

(641) 423-4225

Fax

(641) 423-1697

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Practice roles

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.

• Central Park Dentistry

  • General Practice Dentistry
  • Mason City, IA
  • NPI 1427079201
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437172913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013250",
            "telephone_number": "641-423-4225",
            "fax_number": "641-423-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013250",
            "telephone_number": "641-423-4225",
            "fax_number": "641-423-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel L Hamilos, M.D.
• Nicole Marie Hamilton-Brahm, LMHC
• Handicap Village
• Heidi Jean Hansen, TCADC
• Jennifer Elaine Hansen, PHD LPC NCC
• David H Hanson, MD
• Raegan Alexa Hanson, TCADC
• Tracey Hanson
• Emily Ann Harbacheck, MS,LMHC,NCC
• Matthew Robert Hardee, D.O.

• Dentist in Mason City, IA
• Providers in Mason City, IA by specialty
• Dentist in Iowa

• 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.