Twin Falls Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4164 Issued in ID

Legal business name

TWIN FALLS DENTAL GROUP PLLC

Practice address

788 Eastland Dr Ste a
Twin Falls, ID 83301-6826

Phone

(208) 733-2621

Fax

(208) 733-1086

NPI assigned

Nov 10, 2016

Last updated

Nov 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Hansen, DDSNPI 1396909347

Title

Dentist/Partner

Phone

(208) 733-2621

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Darrel Hansen, DDS

  • General Practice Dentistry
  • Idaho Falls, ID
  • NPI 1396909347
  Authorized official Same address or phone

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1720520505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044968",
            "telephone_number": "208-524-2300",
            "fax_number": "208-545-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 EASTLAND DR STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016826",
            "telephone_number": "208-733-2621",
            "fax_number": "208-733-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN FALLS DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTIST/PARTNER",
        "authorized_official_telephone_number": "208-733-2621",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TW McKnight Enterprises (Lifespan Family Practice, LLC)
• TW McKnight Enterprises (Lifespan Family Practice Mental Health Clinic)
• Twin Falls Anesthesia Associates LLC
• Twin Falls Chardonnay LLC
• Twin Falls County (Treatment and Recovery Clinic)
• Twin Falls Dental PLLC
• Twin Falls Dermatology & Aesthetics
• Twin Falls Imaging & Diagnostic Center LLC
• Twin Falls Imaging & Diagnostic Center LLC
• Twin Falls Imaging and Diagnostic Center

• General Practice Dentistry in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.