R.T.Hansen,Jr., D.M.D., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26070 Issued in CA

Legal business name

R.T.HANSEN,JR., D.M.D., INC.

Practice address

1321 N Harbor Blvd
Suite 104
Fullerton, CA 92835-4124

Phone

(714) 870-0310

Fax

(714) 870-0153

NPI assigned

Nov 15, 2016

Last updated

Nov 15, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

R.T.HANSEN,JR., D.M.D., INC.As reported in NPPES

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

Authorized official

Name

Dr. Richard Thomas Hansen, D.M.D.

Title

Owner

Phone

(714) 870-0310

Specialties & licenses 1

Addresses

Part of

Rthansenjr DMD Inc

Locations

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1912449364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD",
            "address_2": "SUITE 104",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354124",
            "telephone_number": "714-870-0310",
            "fax_number": "714-870-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD",
            "address_2": "SUITE 104",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354124",
            "telephone_number": "714-870-0310",
            "fax_number": "714-870-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.T.HANSEN,JR., D.M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R.T.HANSEN,JR., D.M.D., INC.",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-870-0310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Quiroz
• Ana Quispe
• Toni Anne Alvarez Quitalig
• Shane Nicole Quintos Quitania, RN
• Jane Woo Quon, M.D.
• Sarah Raasch
• Katlyn Rael
• Morgan Raes
• Allyson Rahlwes
• Alyssa Rai

• General Practice Dentistry in Fullerton, CA
• Providers in Fullerton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.