Active NPI
Katie Marie Hansen, DDS
- Dentist
- West Bend, WI
National Provider Identifier
1891041158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6922
- Practice address
- 1500 S. Main St.
West Bend, WI 53095 - Phone
- (262) 338-0022
- Fax
- (262) 338-7982
- NPI assigned
- Jul 24, 2012
- Last updated
- Jul 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6922 | WI | Primary |
Addresses
Primary practice location
1500 S. Main St.
West Bend, WI 53095
Mailing address
1500 S. Main St.
West Bend, WI 53095
Phone (262) 338-0022
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 |
|---|---|---|---|
| 6922 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Bend Dental Center SC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- West Bend, WI
- NPI 1427201599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1891041158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S. MAIN ST.",
"city": "WEST BEND",
"state": "WI",
"postal_code": "53095",
"telephone_number": "262-338-0022",
"fax_number": "262-338-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S. MAIN ST.",
"city": "WEST BEND",
"state": "WI",
"postal_code": "53095",
"telephone_number": "262-338-0022",
"fax_number": "262-338-7982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "KATIE",
"middle_name": "MARIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.