GENTRY MICHAEL HANSEN DMD, MD
NPI 1235497975
Dentist - Oral and Maxillofacial Surgery in Sioux City, IA

Q: What is Gentry Hansen's NPI number?

The NPI number for Gentry Hansen is 1235497975. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Q: What is Gentry Hansen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Gentry Hansen enrolled in Medicare?

No. Gentry Hansen has opted out of Medicare through October 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Gentry Hansen was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since May 01, 2012Opted out of Medicare · through Oct 4, 2026

5828 SUNNYBROOK DR, SIOUX CITY, IA 51106(712) 823-9654(712) 823-9008 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2024, Aug 20, 2019, Aug 24, 2018 and 3 more (6 updates tracked since 2018).

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About Gentry Michael Hansen Dmd, Md NPPES

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

GENTRY MICHAEL HANSEN DMD, MD (NPI 1235497975) is an individual oral and maxillofacial surgery provider in Sioux City, Iowa, licensed in Iowa (09513) and active in the NPI registry since May 2012. He has opted out of Medicare through October 4, 2026.

NPPES Registry Identity

NPI1235497975

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameGENTRY MICHAEL HANSENCredential: DMD, MD

Location Address5828 SUNNYBROOK DRSioux City, IA 51106-4253

Mailing Address5828 Sunnybrook DrSioux City, IA 51106-4253 · (712) 823-9654 · Fax (712) 823-9008

Phone(712) 823-9654

Fax(712) 823-9008

Sole ProprietorNo

Enumeration DateMay 1, 2012

Last NPPES UpdateMarch 7, 20246 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1235497975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in IA · 09513✔ Licensed in SD · D1197✔ Licensed in IA · 45169✔ Licensed in SD · 11002✔ Licensed in TX · 32567

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5828 SUNNYBROOK DR, Sioux City, IA 51106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gentry Michael Hansen Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 4, 2022 through October 4, 2026.

Opt-Out Effective DateOctober 4, 2022

Opt-Out In Effect ThroughOctober 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Gentry Hansen's NPI number?

The NPI number for Gentry Hansen is 1235497975. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Gentry Hansen located?

Gentry Hansen practices at 5828 Sunnybrook Dr, Sioux City, IA 51106. The listed phone number is (712) 823-9654.

What is Gentry Hansen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Gentry Hansen enrolled in Medicare?

No. Gentry Hansen has opted out of Medicare through October 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Gentry Hansen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Home State Health and 23 other insurers list Gentry 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 Gentry Hansen was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.