DR. TIMOTHY A HANSEN (NPI# 1215911920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215911920 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY A HANSEN |
| Credential | DDS |
| Practice Address |
4840 N Rosepoint Way Ste A Boise ID 83713-0954 |
| Practice Telephone | 2089381825 |
| Practice Fax Number | 2089385763 |
| Mailing Telephone | 2089381825 |
| Mailing Fax Number | 2089385763 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D3513 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806797300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437715869 | Timothy John Hansen | Student in an Organized Health Care Education/Training Program | Strong Memorial Hospital 601 Elmwood Avenue, Rochester, NY 14642-0001 | 2019-05-10 |
| 1417173923 | Timothy Scott Hansen | Dentist | 933 Vale Terrace Dr, Suite A, Vista, CA 92084-5213 | 2007-04-17 |
| 1740241520 | Timothy Emil Hansen | Specialist/Technologist | 150 Bobby Dodd Way Nw, Atlanta, GA 30332-0001 | 2006-03-31 |
| 1295367035 | Timothy Joseph Hansen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48859-2033 | 2020-02-10 |
| 1730476987 | Timothy S Hansen | Dentist | 1615 14th St Nw, Rochester, MN 55901-0257 | 2011-07-07 |
| 1518109123 | Timothy James Hansen | Dermatology | 3600 W Lincoln Way, Mcfarland Clinic, PC, Ames, IA 50014 | 2009-03-27 |
| 1063673473 | Timothy Hansen | Counselor | 183 South Orange Ave, Newark, NJ 07103 | 2008-06-18 |
| 1184845000 | Timothy Eric Hansen | Physician Assistant | 32 Strawberry Hill Ct, Stamford, CT 06902-2594 | 2007-05-01 |
| 1083709927 | Timothy Hansen | Anesthesiology | 6235 N Fresno St, Suite # 103, Fresno, CA 93710-5269 | 2006-10-04 |
| 1427092592 | Timothy Earl Hansen | Anesthesiology | 3860 Masthead St Ne, Albuquerque, NM 87109-4479 | 2006-06-16 |
| Street Address |
4840 N ROSEPOINT WAY STE A |
| City | BOISE |
| State | ID |
| Zip Code | 83713-0954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710299433 | Austin Creek Dental PC | Dentist | 4840 N Rosepoint Way, Ste A, Boise, ID 83713 | 2010-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1093369241 | Daniel Bryan Ackerman | Dentist | 10200 W Emerald St Ste 105, Boise, ID 83704-8900 | 2019-07-26 |
| 1497105944 | Carson Steven Dial | Dentist | 1529 S Timesquare Ln Ste 100, Boise, ID 83709-8204 | 2016-06-15 |
| 1538563044 | Smiles 4 Kids | Dentist | 5737 W Fairview Ave, Boise, ID 83706-1168 | 2014-10-13 |
| 1407260128 | David A Luker | Dentist | 514 S El Blanco Dr, Boise, ID 83709-0444 | 2014-06-20 |
| 1841626710 | Stephen Anthony Hubert | Dentist | 600 E. Riverpark Ln., Ste. 100, Boise, ID 83706-7237 | 2013-09-23 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1346689866 | Boise Towne Square Dental | Dentist | 7677 W. Emerald, Boise, ID 83704 | 2013-06-18 |
| 1396183976 | Anne K. Steinberg, Dmd, P. C. | Dentist | 1410 S Entertainment Ave, Boise, ID 83709-8306 | 2013-06-05 |
| 1912344284 | David Norman Wold | Dentist | 8950 W Emerald St Ste 108, Boise, ID 83704 | 2013-05-28 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.