Jason R Hansen, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12032337 Issued in UT

Practice address

1508 E Skyline Dr Ste 100
South Ogden, UT 84405-4847

Phone

(801) 479-7069

Fax

(801) 479-7100

NPI assigned

May 29, 2014

Last updated

Oct 1, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Texas Endodontics, PC

  • Endodontics
  • Midland, TX
  • NPI 1023422367
  NPD (past)

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1699187252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 E SKYLINE DR STE 100",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054847",
            "telephone_number": "801-479-7069",
            "fax_number": "801-479-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 E SKYLINE DR STE 100",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054847",
            "telephone_number": "801-479-7069",
            "fax_number": "801-479-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "12032337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Hadley, RBT
• Heather Hales, ACMHC
• Richard G Hall, M.D.
• Hanger Prosthetics & Orthotics, Inc. (Hanger Clinic)
• Daniel Joseph Hansen, DO
• David Hanson, LMT
• Taylor Harper, RBT
• Arla Ranae Harris
• Priscilla Melena Hart
• Amy Haslam, BCBA

• Endodontics in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Endodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.