Individual provider Active NPI

Loren Kent Hansen, DPM

  • Podiatrist
  • Las Vegas, NV
National Provider Identifier
1558326462
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
58 Issued in NV
Practice address
3885 S Decatur Blvd
Suite 1080
Las Vegas, NV 89103-5855
Phone
(702) 873-8955
Fax
(702) 873-6512
NPI assigned
Apr 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 58 NV Primary

Addresses

Primary practice location

3885 S Decatur Blvd
Suite 1080
Las Vegas, NV 89103-5855

Mailing address

3885 S Decatur Blvd
Suite 1080
Las Vegas, NV 89103-6819
Phone (702) 873-8955

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
I20120418000212 NV Practitioner - Podiatry 5092976027 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3885 S Decatur Blvd
Suite 1080
Las Vegas, NV 89103-6819
Phone (702) 873-8955

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue67
Removal of nail tissue61
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58NVMDPodiatrist
0058NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Springs Hospital Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558326462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 S DECATUR BLVD",
            "address_2": "SUITE 1080",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891036819",
            "telephone_number": "702-873-8955",
            "fax_number": "702-873-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 S DECATUR BLVD",
            "address_2": "SUITE 1080",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035855",
            "telephone_number": "702-873-8955",
            "fax_number": "702-873-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LOREN",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "58",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.