J Clayton Hansen DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

D3853 Issued in ID

Legal business name

J CLAYTON HANSEN DDS PLLC

Doing business as

Palouse View Dental Center

Practice address

1526 S Levick St
Moscow, ID 83843-2560

Phone

(208) 882-4923

Fax

(208) 882-8418

NPI assigned

Oct 6, 2006

Last updated

Apr 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Clayton Hansen, DDSNPI 1609129519

Title

Dentist/Owner

Phone

(208) 882-4923

Specialties & licenses 1

Addresses

Other names 1

• Palouse View Dental Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Clayton Hansen II, DDS

  • Dentist
  • Moscow, ID
  • NPI 1609129519
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1558458281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 S LEVICK ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432560",
            "telephone_number": "208-882-4923",
            "fax_number": "208-882-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 S LEVICK ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432560",
            "telephone_number": "208-882-4923",
            "fax_number": "208-882-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J CLAYTON HANSEN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "208-882-4923",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palouse View Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inland NW Renal Care Group - Gritman Medical Center, LLC (Fresenius Medical Care Palouse)
• Inland Orthopaedic Surgery and Sports Medicine Clinic PLLC
• Integrative Mindworks LLC, April King Rubino Sole MBR
• Kelly Patricia Isakson, PT
• Amy Isbelle, RN
• Richard Allen Jacobs, M.D.
• Charles A Jacobson, M.D.
• Alyda Rose Jaegerman, LMSW
• Lynley R James, NP-C
• Whitney Marie James

• Dentist in Moscow, ID
• Providers in Moscow, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.