Jarom S Hansen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27980 Issued in TX

Practice address

66 N. Garden Ave
Sierra Vista, AZ 85635

Phone

(520) 458-1989

Fax

(520) 458-6905

NPI assigned

Aug 28, 2012

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

Locations

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.

• Red Sea Journey PLLC

  • Dental Clinic/Center
  • Logan, UT
  • NPI 1265360341
  NPD Authorized official
• Ramsey Edwards Experience PC

  • Dentist
  • Sierra Vista, AZ
  • NPI 1780249417
  NPD
• Carl R. Darnall Army Medical Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Hood, TX
  • NPI 1073710893
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1831447507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 N. GARDEN AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-458-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 N. GARDEN AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-458-1989",
            "fax_number": "520-458-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JAROM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Paul Hamel, DO
• Jarrett Wesley Hamilton, DPM
• Seoyoon Han, DDS
• Russell K. Hanes, D.D.S.
• Hanger Prosthetics & Orthotics West Inc
• Laura Harder, LPC
• Patrick G Hardy, D.D.S.
• Walik Hargett
• Marilyn Josephine Harper
• Marybeth Harper, PHMNP-BC

• General Practice Dentistry in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.