Clayton M Hansen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

355197 Issued in UT

Practice address

356 E 20 S Ste B
American Fork, UT 84003-3834

Phone

(801) 756-2809

Fax

(801) 763-5439

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1568487312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E 20 S STE B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033834",
            "telephone_number": "801-756-2809",
            "fax_number": "801-763-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 E 20 S STE B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033834",
            "telephone_number": "801-756-2809",
            "fax_number": "801-763-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CLAYTON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "355197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Hancock
• Ethan Hancock
• Ashli Kristine Hansen
• Brooke Hansen, LMFT
• Cindy Lyn Hansen
• Julie Ann Hansen, MA
• Lory Hansen, PHARMACIST
• Marlan L Hansen, MD
• Orrin Blake Hansen, APRN
• Rory John Hansen, PA-C

• General Practice Dentistry in American Fork, UT
• Providers in American Fork, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.