Active NPI
Lawrence Dean Hansen, DDS
- Dentist
- Sacramento, CA
National Provider Identifier
1639367949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21995
- Practice address
- 501 J St
Sacramento, CA 95814-2326 - Phone
- (916) 323-1199
- NPI assigned
- Oct 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21995 | CA | Primary |
Addresses
Primary practice location
501 J St
Sacramento, CA 95814-2326
Mailing address
PO Box 270535
Susanville, CA 96127-0009
Phone (530) 310-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1639367949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270535",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961270009",
"telephone_number": "530-310-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958142326",
"telephone_number": "916-323-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "LAWRENCE",
"middle_name": "DEAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "21995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.