Darla Jo Hanson

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DARLA JO HANSON

Practice address

4101 E 42ND St
Music City Mall #95
Odessa, TX 79762-7239

Phone

(432) 366-1158

Fax

(432) 366-1158

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Darla Jo Hanson, CMFNPI 1134253578

Title

Owner

Phone

(432) 366-1158

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darla J Hanson, CMF

  • Prosthetic/Orthotic Supplier
  • Odessa, TX
  • NPI 1134253578
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1912011602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 COUNTY ROAD O",
            "city": "ACKERLY",
            "state": "TX",
            "postal_code": "797134038",
            "telephone_number": "432-366-1158",
            "fax_number": "432-366-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 E 42ND ST",
            "address_2": "MUSIC CITY MALL #95",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627239",
            "telephone_number": "432-366-1158",
            "fax_number": "432-366-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARLA JO HANSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-366-1158",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107997-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "103263100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "530030",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bich Thao Dang, MD
• Daniel & Max, LLC
• Ryan Daniels, ATC
• Gary Danielson, ATC/R
• Khavar J Dar, MD
• Darrell Parsons, M.D., P.a.
• Donald D Davenport Jr., D.O.
• Carl T Davidson Jr., D.C.
• Gabriela Davis, M.S., CCC-SLP
• Jonathan M Davis, CRNA

• Prosthetic/Orthotic Supplier in Odessa, TX
• Providers in Odessa, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.