Active NPI
Doreen Joy Hanson
- Respite Care
- Detroit Lakes, MN
National Provider Identifier
1841665528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 1078862-1-AFC
- Practice address
- 19190 N Ridge Rd
Detroit Lakes, MN 56501-7650 - Phone
- (320) 305-1524
- NPI assigned
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 1078276-1-HCBS | MN | |
| Respite Care | 385H00000X | 1078862-1-AFC | MN | Primary |
Addresses
Primary practice location
19190 N Ridge Rd
Detroit Lakes, MN 56501-7650
Mailing address
19190 N Ridge Rd
Detroit Lakes, MN 56501-7650
Phone (320) 305-1524
Other names 1
- Doreen Joy Benck
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1078276-1-HCBS | MN | MD | Respite Care |
| 1078862-1-AFC | MN | MD | Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1841665528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19190 N RIDGE RD",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565017650",
"telephone_number": "320-305-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19190 N RIDGE RD",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565017650",
"telephone_number": "320-305-1524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "DOREEN",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "MN",
"license": "1078276-1-HCBS",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "MN",
"license": "1078862-1-AFC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOREEN",
"last_name": "BENCK",
"middle_name": "JOY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.