Joseph Edward Hansen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5934174-9921 Issued in UT

Practice address

1001 Rio Vista Dr
Fallon, NV 89406-5463

Phone

(775) 423-3634

Fax

(775) 423-5694

NPI assigned

Oct 21, 2005

Last updated

Feb 14, 2014By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1649260647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "ALAMO",
            "state": "NV",
            "postal_code": "890010450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 RIO VISTA DR",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894065463",
            "telephone_number": "775-423-3634",
            "fax_number": "775-423-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5934174-9921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649260647",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Guillen
• Russell Guisti, O.D.
• Kavita Gupta, RN, BSN
• Chelsey Haley, DO
• Cheyenne Hamlin
• Laura Ann Harmon, D.C.
• Scott Winslow Harrington, PH.D., BCBA-D
• Corine Harris
• Diane Harvey
• Kristin Ann Haugen

• General Practice Dentistry in Fallon, NV
• Providers in Fallon, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.