Individual provider Active NPI

C. Bruce Hasenauer, DDS

  • Dentist
  • Centennial, CO
National Provider Identifier
1508522335
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00008948 Issued in CO
Practice address
6402 S Troy Cir Ste 300
Centennial, CO 80111-6439
Phone
(303) 471-0346
NPI assigned
Nov 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00008948 CO Primary

Addresses

Primary practice location

6402 S Troy Cir Ste 300
Centennial, CO 80111-6439

Mailing address

6402 S Troy Cir Ste 300
Centennial, CO 80111-6439
Phone (303) 471-0346

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@accessmobiledental.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00008948COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kronos Mobile Dental, PC CurrentSince Nov 21, 2021 Accepting new patients

Locations

6402 S Troy Cir
Ste 300
Centennial, CO 80111
Phone (303) 471-0346

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1508522335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 S TROY CIR STE 300",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116439",
            "telephone_number": "303-471-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 S TROY CIR STE 300",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116439",
            "telephone_number": "303-471-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASENAUER",
        "first_name": "C. BRUCE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00008948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@accessmobiledental.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6402 S Troy Cir Ste 300",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801116439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.