Active NPI
Hunter James Hansen, D.O.
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1841364171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9700978
- Practice address
- 10344 Park Rd Ste 200
Charlotte, NC 28210-8505 - Phone
- (704) 981-0033
- Fax
- (980) 237-8582
- NPI assigned
- Nov 20, 2006
- Last updated
- Apr 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO0000001545 | TN | |
| Family Medicine Physician | 207Q00000X | DO000001545 | TN | |
| Family Medicine Physician | 207Q00000X | 9700978 | NC | Primary |
Addresses
Primary practice location
10344 Park Rd Ste 200
Charlotte, NC 28210-8505
Mailing address
10344 Park Rd Ste 200
Charlotte, NC 28210-8505
Phone (704) 981-0033
Other practice location 1
249 Williamson Rd Ste 101
Mooresville, NC 28117-6863
Phone (704) 981-0033
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I087364 | Other | TN | MEDICARE PTAN |
| TN0143 | Other | TN | JOHN DEERE |
| 4102165 | Other | BLUE CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9700978 | NC | MD | Family Medicine Physician |
| DO0000001545 | TN | MD | Family Medicine Physician |
| DO000001545 | TN | MD | Family Medicine Physician |
| 9700918 | NC | MD | Pediatrics Physician |
| 1545 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1841364171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10344 PARK RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108505",
"telephone_number": "704-981-0033",
"fax_number": "980-237-8582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10344 PARK RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108505",
"telephone_number": "704-981-0033",
"fax_number": "980-237-8582"
}
],
"practiceLocations": [
{
"address_1": "249 Williamson Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281176863",
"country_code": "US",
"telephone_number": "704-981-0033",
"fax_number": "980-237-8582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "HUNTER",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO0000001545",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO000001545",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9700978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "103I087364",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN0143",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE",
"identifier": "4102165",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.