Benjamin Larry Hanson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14872 Issued in MN

Practice address

401 Jewett St
Marshall, MN 56258-2605

Phone

(507) 532-3104

NPI assigned

May 31, 2023

Last updated

May 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Johnson Family Dental Care LLC

  dba Johnson Family Dental Care

  • General Practice Dentistry
  • Marshall, MN
  • NPI 1750651527
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1609569052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 JEWETT ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582605",
            "telephone_number": "507-532-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 JEWETT ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582605",
            "telephone_number": "507-532-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "BENJAMIN",
        "middle_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Arndt Hagan, M.D.
• Dana A Hamilton, PT
• Elizabeth Lynn Hankermeyer, LPCC
• Jaci Rae Hannasch, CNP
• Austin Ray Hansen
• Karissa J Hanson
• Bridgit Harris
• Donna Rae Hartfiel, M.D.
• Jane Elise Hartman, D.O.
• Justin Garett Hartman, D.O.

• General Practice Dentistry in Marshall, MN
• Providers in Marshall, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.