DR. TIMOTHY A HANSEN DDS
NPI 1215911920
Dentist in Meridian, ID

Active since December 06, 2005PECOS Enrolled
4702 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646(208) 938-1825(208) 938-5763 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, May 26, 2026, May 14, 2026 and 1 more (4 updates tracked since 2015).

About Dr. Timothy A Hansen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY A HANSEN DDS (NPI 1215911920) is an individual dentist in Meridian, Idaho, licensed in Idaho (D3513) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215911920
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TIMOTHY A HANSENCredential: DDS
Location Address4702 N PENNGROVE WAY STE 100Meridian, ID 83646-7449
Mailing Address4702 N Penngrove Way Ste 100Meridian, ID 83646-7449 · (208) 938-1825 · Fax (208) 938-5763
Fax(208) 938-5763
Sole ProprietorNo
Enumeration DateDecember 6, 2005
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1215911920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in ID · D3513
Definition
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.
4702 N PENNGROVE WAY STE 100, Meridian, ID 83646

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Timothy A Hansen Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4702 N PENNGROVE WAY STE 100
MERIDIAN, ID 83646
Clinic/Center (Dental)
4702 N PENNGROVE WAY STE 100
MERIDIAN, ID 83646
Dentist
4702 N PENNGROVE WAY STE 100
MERIDIAN, ID 83646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Hansen's NPI number?

The NPI number for Timothy Hansen is 1215911920. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Timothy Hansen located?

Timothy Hansen practices at 4702 N Penngrove Way Ste 100, Meridian, ID 83646. The listed phone number is (208) 938-1825.

What is Timothy Hansen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Timothy Hansen enrolled in Medicare?

Yes. Timothy Hansen is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Hansen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Timothy Hansen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Hansen was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.