Individual provider Active NPI

Dan L Hansen, DDS

  • General Practice Dentistry
  • Lakewood, CO
National Provider Identifier
1497754063
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3178 Issued in CO
Practice address
3333 S Wadsworth Blvd
D-305
Lakewood, CO 80227-5122
Phone
(303) 985-1615
Fax
(303) 985-1617
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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 3178 CO Primary

Addresses

Primary practice location

3333 S Wadsworth Blvd
D-305
Lakewood, CO 80227-5122

Mailing address

3333 S Wadsworth Blvd
D-305
Lakewood, CO 80227-5122
Phone (303) 985-1615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160706001824 CO Order and Referring Only - DentistPractitioner - Dentist 4082906359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3178COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Travis Barr DDS, PLLC General Practice PastSince Jun 9, 2024 Accepting new patients

Organizations & group practices 1

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1497754063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD",
            "address_2": "D-305",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275122",
            "telephone_number": "303-985-1615",
            "fax_number": "303-985-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD",
            "address_2": "D-305",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275122",
            "telephone_number": "303-985-1615",
            "fax_number": "303-985-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "3178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.