DR. JACE C. HANSEN DMD, MS NPI 1003027400

Dentist (Periodontics) in Boise, ID

NPI 1003027400 Individual Male Dentist Periodontics

About JACE HANSEN

Jace Hansen is a provider established in Boise, Idaho and his medical specialization is dentist (periodontics) . The NPI number of Jace Hansen is 1003027400 and was assigned on May 2007. The practitioner's primary taxonomy code is 1223P0300X with license number D-4290 (ID). The provider is registered as an individual and his NPI record was last updated June 2021.

A dentist like Dr. Jace C. Hansen Dmd, Ms is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Jace Hansen is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003027400

Provider NameDR. JACE C. HANSEN DMD, MS
Provider Location Address6019 N. EAGLE RD. BOISE, ID 83713
Provider Mailing Address6019 N. EAGLE RD. BOISE, ID 83713
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-25-2007
Last Update Date06-23-2021


Primary Taxonomy

Taxonomy Code1223P0300X
ClassificationDentist
TypeDental Providers
SpecializationPeriodontics
License No.D-4290
License StateID
Taxonomy DescriptionThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Business Address

DR. JACE C. HANSEN DMD, MS
6019 N. EAGLE RD.
BOISE, ID
ZIP 83713
Phone: (208) 377-2777
Fax: (208) 377-3075

Get Directions


Mailing Address

DR. JACE C. HANSEN DMD, MS
6019 N. EAGLE RD.
BOISE, ID
ZIP 83713
Phone: (208) 377-2777
Fax: (208) 377-3075



Secondary Locations

2273 S Vista Ave Ste 110
Boise, ID 83705
(208) 377-2777

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramKYNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700994852DR. BRADLEY LYNN TOWNSEND DDS
Individual
Dentist (Periodontics)6019 N. EAGLE RD.
BOISE, ID 83713
(208) 377-2777

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.