Craig K. Hansen

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CRAIG K. HANSEN

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

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.

Title

Owner

Phone

(605) 348-1208

Specialties & licenses 1

Addresses

Other names 1

• Creekside Family Practice Doing business as

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.
• Cindy Creager, OT
• Creekside Medical Clinic, Prof. LLC
• Crisman Dixon & Associates P C
• Crisman Dixon & Associates, P.C.
• Bruce A. Crisman, D.C.

• All providers in Rapid City, SD
• 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.