Sean Michael Hanson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D8850 Issued in OR

Practice address

2045 Madrona Ave SE
Suite #150
Salem, OR 97302-1149

Phone

(503) 391-2848

Fax

(503) 391-0402

NPI assigned

Jun 6, 2007

Last updated

Jun 8, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sean Hanson, DMD, LLC

  dba Oregon Smile Care Center

  • Dentist
  • Salem, OR
  • NPI 1003880519
  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1851594162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 ROGUE AVE S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029518",
            "telephone_number": "503-391-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 MADRONA AVE SE",
            "address_2": "SUITE #150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021149",
            "telephone_number": "503-391-2848",
            "fax_number": "503-391-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Hanson, QMHA
• Jessica Toni Hanson, RN
• Lorraine Hanson, PHARM D
• Nicholas Hanson, MD
• Saskia Hanson
• Darci Hantze-Tothridgway
• Happy Spirit Healing Arts, LLC
• Brooke Harboe, PSYD
• James Harclerode, LPN
• Jacqueline Lauren Harden

• Dentist in Salem, OR
• Providers in Salem, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.