Kathleen Marie Hansen, DDS

Primary specialty

DentistTaxonomy code 122300000X

Practice address

7212 Edgebrook LN
Hanover Park, IL 60133

Phone

(630) 837-3700

Fax

(630) 837-3849

NPI assigned

Nov 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kathleen Marie Sarang Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Practice roles

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.

• Georgetown Dental LLC

  • General Practice Dentistry
  • Hanover Park, IL
  • NPI 1023345568
  NPD (past) Authorized official
• Hansen&Hansen DDS LDT

  • General Practice Dentistry
  • Hanover Park, IL
  • NPI 1003993742
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609867092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 EDGEBROOK LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "60133",
            "telephone_number": "630-837-3700",
            "fax_number": "630-837-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 EDGEBROOK LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "60133",
            "telephone_number": "630-837-3700",
            "fax_number": "630-837-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102598",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SARANG",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hanover Dental PC
• Hanover Park Dental Clinic, LLC
• Hanover Park Physical Medicine & Rehabilitation LTD
• Hanover Pharmacy, LLC.
• Hanover Smile Dental P.C.
• Hansen&Hansen DDS LDT
• Harris Chiropractic, Inc
• Steven Roger Harris, D.C.
• Stephanie L Hasan, R.PH.
• Bradley Hiroshi Hayashi, DC

• Dentist in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.