Organization Active NPI

Burke E Hansen M.D.

  • Family Medicine Physician
  • Dillon, MT
National Provider Identifier
1689858540
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BURKE E HANSEN M.D.
Practice address
30 Mt Highway 91 S Ste 204
Dillon, MT 59725-3535
Phone
(406) 683-4252
NPI assigned
Dec 27, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Burke E Hansen
Title
Owner
Phone
(406) 683-4252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Obstetrics & Gynecology Physician 207V00000X

Addresses

Primary practice location

30 Mt Highway 91 S Ste 204
Dillon, MT 59725-3535

Mailing address

30 Mt Highway 91 S Ste 204
Dillon, MT 59725-3535
Phone (406) 683-4252

Other identifiers 1

IdentifierTypeStateIssuer
0047840MedicaidMT

National Provider Directory

National Provider Directory

Locations

30 MT Highway 91 S
Ste 204
Dillon, MT 59725

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1689858540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MT HIGHWAY 91 S STE 204",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253535",
            "telephone_number": "406-683-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MT HIGHWAY 91 S STE 204",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253535",
            "telephone_number": "406-683-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE E HANSEN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "BURKE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-683-4252"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047840",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.