Richard Thomas Hanson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00005430 Issued in WA

Practice address

620 E Market St
Aberdeen, WA 98520-3436

Phone

(360) 532-0823

Fax

(360) 532-0910

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 WA

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

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740296979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E MARKET ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203436",
            "telephone_number": "360-532-0823",
            "fax_number": "360-532-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E MARKET ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203436",
            "telephone_number": "360-532-0823",
            "fax_number": "360-532-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5771902",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Dawn Hampton, LPN
• Mandy Hancock
• Bev J Hanke, LMP
• Alaina Hansen, DMD
• Brita Marie Hanson
• Hany G Bashandy MD PS
• Harbor Dental Center
• Harbor Dental Center
• Harbor Foot & Ankle Clinic PLLC
• Harbor Heights (Department of Children, Youth, & Families)

• General Practice Dentistry in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.