DR. TRISHA DIANE HANSEN DMD
NPI 1407148661
Dentist - Periodontics in Reno, NV

Active since May 06, 2011Opted out of Medicare · through Dec 4, 2026
3701 BAKER LANE, SUITE #2, RENO, NV 89509(775) 524-3500(775) 524-3501 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 4, 2026, Jan 31, 2023 (2 updates tracked since 2023).

About Dr. Trisha Diane Hansen Dmd NPPES

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

DR. TRISHA DIANE HANSEN DMD (NPI 1407148661) is an individual periodontics provider in Reno, Nevada, licensed in Nevada (S4-116C) and active in the NPI registry since May 2011. She has opted out of Medicare through December 4, 2026.

NPPES Registry Identity

NPI1407148661
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. TRISHA DIANE HANSENCredential: DMD
Location Address3701 BAKER LANE, SUITE #2Reno, NV 89509
Mailing Address3701 Baker Ln Ste 2Reno, NV 89509-5441 · (775) 524-3500 · Fax (775) 524-3501
Fax(775) 524-3501
Sole ProprietorYes
Enumeration DateMay 6, 2011
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1407148661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NV · S4-116C
Definition

That 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.

3701 BAKER LANE, Reno, NV 89509

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Dr. Trisha Diane Hansen Dmd 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 December 4, 2020 through December 4, 2026.

Opt-Out Effective DateDecember 4, 2020
Opt-Out In Effect ThroughDecember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407148661, enumerated as an "individual" on May 06, 2011.

The provider is located at 3701 BAKER LANE SUITE #2 RENO, NV 89509 and the phone number is (775) 524-3500.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.