Individual provider Active NPI

Hunter James Hansen, D.O.

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1841364171
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9700978 Issued in NC
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103I087364OtherTNMEDICARE PTAN
TN0143OtherTNJOHN DEERE
4102165OtherBLUE 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9700978NCMDFamily Medicine Physician
DO0000001545TNMDFamily Medicine Physician
DO000001545TNMDFamily Medicine Physician
9700918NCMDPediatrics Physician
1545TNMDPhysician 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.

Verify at the official NPI Registry.