Craig K. Hansen

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CRAIG K. HANSEN

Doing business as

Creekside Family Practice

Practice address

2620 Jackson Blvd
Suite C
Rapid City, SD 57702-3478

Phone

(605) 341-1208

Fax

(605) 341-3552

NPI assigned

Oct 19, 2007

Last updated

Jan 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig K Hansen, M.D.NPI 1730242033

Title

Owner

Phone

(605) 348-1208

Specialties & licenses 1

Addresses

Other names 1

• Creekside Family Practice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig K. Hansen, M.D.

  • Family Medicine Physician
  • Rapid City, SD
  • NPI 1730242033
  Authorized official Same address or phone

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1447449079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 JACKSON BLVD",
            "address_2": "SUITE C",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023478",
            "telephone_number": "605-341-1208",
            "fax_number": "605-341-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 JACKSON BLVD",
            "address_2": "SUITE C",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023478",
            "telephone_number": "605-341-1208",
            "fax_number": "605-341-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG K. HANSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-348-1208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara K Cox
• Dennis Coy
• Nicole Coyle, CNP
• Alexandra Norene Coyne, MS, NCC
• Dustin Craft, D.C.
• Alleiyah Crawford, LMT
• Cindy Creager, OT
• Creekside Medical Clinic, Prof. LLC
• Crisman Dixon & Associates P C (Back to Health Wellness Clinic)
• Crisman Dixon & Associates, P.C. (Back to Health Wellness Clinic)

• Family Medicine Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.