Will Joseph Hansen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS-09563 Issued in IA

Practice address

107 Eldora Rd
Hudson, IA 50643-7747

Phone

(319) 988-4131

NPI assigned

Jun 19, 2018

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)

Not 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.

• Vitzthum Family Dentistry

  • Dentist
  • Waterloo, IA
  • NPI 1174361679
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1730673146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 IVANHOE RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014207",
            "telephone_number": "319-483-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ELDORA RD",
            "city": "HUDSON",
            "state": "IA",
            "postal_code": "506437747",
            "telephone_number": "319-988-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1866 W Ridgeway Ave",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507014546",
            "country_code": "US",
            "telephone_number": "319-235-0164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "WILL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Hudson
• Fish Chiropractic, LLC
• Marci J Fish, DC
• Angela Lee Fritz McHone, MOT, OTR/L, CLT
• Glen Leroy Groothuis, D.C.
• Ariann Henderson, M.A., LMFT
• Hudson Community School District
• Hudson Family Chiropractic, PLC
• Hudson Pharmacy LLC
• Karissa Kalous, OTR/L

• All providers in Hudson, IA
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.