Organization Active NPI

Dr Hansens Family Dentistry LLC

  • General Practice Dentistry
  • Syracuse, UT
National Provider Identifier
1881712685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3708249922 Issued in UT
Legal business name
DR HANSENS FAMILY DENTISTRY LLC
Practice address
1747 S Heritage Lane
Suite B 203
Syracuse, UT 84075
Phone
(801) 525-1725
Fax
(801) 525-0988
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Val Hansen, DDSNPI 1275891731
Title
Dentist Owner
Phone
(801) 525-1725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3708249922 UT Primary

Addresses

Primary practice location

1747 S Heritage Lane
Suite B 203
Syracuse, UT 84075

Mailing address

1747 S Heritage Lane
Suite B 203
Syracuse, UT 84075
Phone (801) 525-1725

National Provider Directory

National Provider Directory

Locations

1747 Heritage Ln
Ste B203
Syracuse, UT 84075
Phone (801) 525-1725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881712685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 S HERITAGE LANE",
            "address_2": "SUITE B 203",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "84075",
            "telephone_number": "801-525-1725",
            "fax_number": "801-525-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 S HERITAGE LANE",
            "address_2": "SUITE B 203",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "84075",
            "telephone_number": "801-525-1725",
            "fax_number": "801-525-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HANSENS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "VAL",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "801-525-1725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "3708249922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.