Timothy S Hansen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12998 Issued in MN

Practice address

1615 14TH St NW
Rochester, MN 55901-0257

Phone

(507) 289-3921

Fax

(507) 288-2450

NPI assigned

Jul 7, 2011

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 MN

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minnesota Sleep Dentistry PLLC

  • General Practice Dentistry
  • Rochester, MN
  • NPI 1629968995
  NPD (past)
• Northwest Dental Group

  • General Practice Dentistry
  • Rochester, MN
  • NPI 1386999290
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1730476987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 14TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010257",
            "telephone_number": "507-289-3921",
            "fax_number": "507-288-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 14TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010257",
            "telephone_number": "507-289-3921",
            "fax_number": "507-288-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN DENTAL LICENSE #",
            "identifier": "D12998",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark R Hansen, M.D.
• Melanie A Hansen, NP
• Michael L Hansen, CRNA
• Susan D Hansen, OTR
• Tess Michelle Hansen, MA CCC-SLP
• Abigail Erin Hanson, DNP, APRN, CNM
• Alexandra Hanson
• Amy Hanson
• Ashley Elaine Hanson
• Bart G Hanson, PT

• General Practice Dentistry in Rochester, MN
• Providers in Rochester, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.