DR. MARK ANDRE HANSEN (NPI# 1285858605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285858605 |
| Entity Type | Individual |
| Full Name | DR. MARK ANDRE HANSEN |
| Credential | DMD |
| Practice Address |
1730 Novato Blvd Suite H Novato CA 94947 |
| Practice Telephone | 4158975070 |
| Practice Fax Number | 4158978805 |
| Mailing Telephone | 4158975070 |
| Mailing Fax Number | 4158978805 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
35727 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225465156 | Mark Hansen | Counselor | 1470 Bluegrass Ln, Tracy, CA 95377-9245 | 2013-10-10 |
| 1063847077 | Mark Duane Hansen | Registered Nurse | 20070 Audrey Ln, Prunedale, CA 93907-8407 | 2013-09-10 |
| 1033173737 | Mark Foster Hansen | Radiology | 14215 North 2nd Avenue, Phoenix, AZ 85023-6220 | 2006-04-12 |
| 1972588473 | Mark P Hansen | Psychologist | 1360 Energy Park Dr, Suite 340, Saint Paul, MN 55108-5276 | 2005-12-07 |
| 1962483024 | Mark Oliver Hansen | Specialist | 210 N 300 W, Roosevelt, UT 84066-2334 | 2005-11-07 |
| 1679119085 | Mark William Hansen | Counselor | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-11-20 |
| 1629532361 | Mark Christopher Hansen | Social Worker | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-01-28 |
| 1083017016 | Mark Hansen | Pharmacist | 1400 164th St Sw, Lynnwood, WA 98087-8515 | 2014-10-05 |
| 1851681084 | Mark Richard Hansen | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2011-04-08 |
| 1467787226 | Mark Spencer Hansen | Ophthalmology | 9801 Dupont Ave S, 425, Bloomington, MN 55431-3100 | 2009-10-13 |
| Street Address |
1730 NOVATO BLVD SUITE H |
| City | NOVATO |
| State | CA |
| Zip Code | 94947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694010 | E Craig Mccurdy | Optometrist | 1730 Novato Blvd, Suite C, Novato, CA 94947-3048 | 2006-01-24 |
| 1851768360 | Greg Miller, Dds, Inc | Dentist | 1730 Novato Blvd, Suite I, Novato, CA 94947-3048 | 2015-09-01 |
| 1851655609 | Greg Costopoulos | Dentist | 1730 Novato Blvd, Suite I, Novato, CA 94947-3048 | 2012-06-26 |
| 1356415772 | Ira R Simon | Dentist | 1730 Novato Blvd, Suite G, Novato, CA 94947-3048 | 2006-11-17 |
| 1467549923 | Alan Geemen Chui | Dentist | 1730 Novato Blvd, Ste. K, Novato, CA 94947-3048 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104311935 | Sara Kwong | Dentist | 1805 Novato Blvd Ste 4, Novato, CA 94947-2934 | 2018-06-25 |
| 1609161652 | Kulyk Dental Corporation | Dentist | 1744 Novato Blvd Ste 110, Novato, CA 94947-3092 | 2011-06-17 |
| 1477885960 | Paul Kim | Dentist | 6090 Redwood Blvd, Suite D, Novato, CA 94945-4569 | 2010-02-08 |
| 1619194834 | Jonathan Maclean | Dentist | 208 Vintage Way, Suite K23, Novato, CA 94945-5014 | 2007-04-19 |
| 1083732499 | M Paul Schafer | Dentist | 896 Sutro Ave, Novato, CA 94947-2040 | 2007-03-26 |
| 1265558332 | Norman Ivan Elloway | Dentist | 1316 Grant Ave, Novato, CA 94945-3100 | 2007-03-21 |
| 1073650578 | Matthew Menasco | Dentist | 1615 Hill Rd Ste A, Novato, CA 94947-4338 | 2007-01-31 |
| 1295898245 | Theodore Rist Jr. | Dentist | 1730 Novato Blvd Ste F, Novato, CA 94947-3048 | 2006-12-19 |
| 1396812731 | Clayton Joseph Perry | Dentist | 7460 Redwood Blvd, Novato, CA 94945-2457 | 2006-11-29 |
| 1831273143 | Myron Lee Donesky | Dentist | 7250 Redwood Blvd, Suite 210, Novato, CA 94945-3268 | 2006-10-24 |
| Find all providers in NOVATO | ||||
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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.