Individual provider Active NPI

Gerald V. Hansen, DDS

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1467455253
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2490 Issued in NV
Practice address
740 Del Monte LN#1
Reno, NV 89511-7508
Phone
(775) 329-0500
Fax
(775) 329-4608
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2490 NV Primary

Addresses

Primary practice location

740 Del Monte LN#1
Reno, NV 89511-7508

Mailing address

740 Del Monte LN#1
Reno, NV 89511-7508
Phone (775) 329-0500

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160119000493 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204016033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Braun DDS, PLLC CurrentSince Jul 3, 2022 Accepting new patients
V.N. Hansen DDS LTD CurrentSince Aug 11, 2019 Accepting new patients

Locations

740 Del Monte Ln
Ste 1
Reno, NV 89511
Phone (775) 329-0500

475 S Arlington Ave
Ste 1B
Reno, NV 89501

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1467455253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 DEL MONTE LN#1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895117508",
            "telephone_number": "775-329-0500",
            "fax_number": "775-329-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 DEL MONTE LN#1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895117508",
            "telephone_number": "775-329-0500",
            "fax_number": "775-329-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "GERALD",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.