Individual provider Active NPI

Thomas A Hanson, D.M.D

  • Dentist
  • Daphne, AL
National Provider Identifier
1699071423
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
AL 4301 Issued in AL
Practice address
28080 US Highway 98 Ste a
Daphne, AL 36526-7012
Phone
(251) 621-9404
Fax
(251) 621-9653
NPI assigned
Jan 26, 2011
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X AL 4301 AL Primary

Addresses

Primary practice location

28080 US Highway 98 Ste a
Daphne, AL 36526-7012

Mailing address

28080 US Highway 98
Daphne, AL 36526-7005
Phone (251) 621-9404

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

State licenses

LicenseStateTypeSpecialty
AL 4301ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Denture Center, LLC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1699071423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28080 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267005",
            "telephone_number": "251-621-9404",
            "fax_number": "251-621-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28080 US HIGHWAY 98 STE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267012",
            "telephone_number": "251-621-9404",
            "fax_number": "251-621-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "AL 4301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.