Organization Active NPI

Darrin F Hansen M.D. P.C.

  • Specialist
  • Sandy, UT
National Provider Identifier
1457670713
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
372807-1205 Issued in UT
Legal business name
DARRIN F HANSEN M.D. P.C.
Practice address
9720 S 1300 E Ste W110
Sandy, UT 84094-3765
Phone
(801) 571-9511
Fax
(801) 571-9823
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Ms. Janet M Jensen
Title
Office Manager
Phone
(801) 571-9511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 372807-1205 UT Primary

Addresses

Primary practice location

9720 S 1300 E Ste W110
Sandy, UT 84094-3765

Mailing address

9720 S 1300 E Ste W110
Sandy, UT 84094-3765
Phone (801) 571-9511

Other identifiers 1

IdentifierTypeStateIssuer
529330362001MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100602000039 UT Part B Supplier - Clinic/Group Practice 5890824700 Receives reassigned benefits from 1 practitioner
Practice locations: Draper, UT

National Provider Directory

National Provider Directory

Locations

74 E Kimballs Ln
Ste 360
Draper, UT 84020
Phone (801) 260-3687

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1457670713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 S 1300 E STE W110",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943765",
            "telephone_number": "801-571-9511",
            "fax_number": "801-571-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 S 1300 E STE W110",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943765",
            "telephone_number": "801-571-9511",
            "fax_number": "801-571-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRIN F HANSEN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-571-9511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "372807-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529330362001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.