Scott S Hansen, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6438 Issued in OR

Practice address

501 NE Hood Ave
Suite 333
Gresham, OR 97030-7303

Phone

(503) 661-2600

Fax

(503) 661-2602

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 22, 2021 through Mar 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gresham Family Dentistry, PC

  • Dentist
  • Gresham, OR
  • NPI 1487990172
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851455703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NE HOOD AVE",
            "address_2": "SUITE 333",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307303",
            "telephone_number": "503-661-2600",
            "fax_number": "503-661-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NE HOOD AVE",
            "address_2": "SUITE 333",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307303",
            "telephone_number": "503-661-2600",
            "fax_number": "503-661-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "SCOTT",
        "middle_name": "S",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012026",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lane Hammond, D.P.T
• Elizabeth Cady Yu Louise Handley, LICSW
• Catherine Hannigan
• Jonathan M Hansel, DC MD
• Cathryn Hansen, REGISTERED NURSE
• Isaac Leon Hanset, DMD
• Amy Lynn Hanson, D.C.
• Hardin Orthodontics
• Tod M Hardin, DMD, PC
• Jessica Anne Hargadine

• General Practice Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.