Organization Active NPI

Hanseen Orthodontics

  • Dental Clinic/Center
  • Glendora, CA
National Provider Identifier
1760166425
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HANSEEN ORTHODONTICS
Practice address
237 S Glendora Ave
Glendora, CA 91741-3451
Phone
(801) 918-3866
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
JACOB HANSEEN DMD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Dr. Jacob Hanseen, DMDNPI 1295292340
Title
President
Phone
(801) 918-3866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

237 S Glendora Ave
Glendora, CA 91741-3451

Mailing address

1119 Englewild Dr
Glendora, CA 91741-2286
Phone (801) 918-3866

National Provider Directory

National Provider Directory
Part of
Hanseen Orthodontics

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1760166425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 ENGLEWILD DR",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412286",
            "telephone_number": "801-918-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 S GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413451",
            "telephone_number": "801-918-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEEN ORTHODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACOB HANSEEN DMD INC",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "HANSEEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-918-3866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.