1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Dentist
  6. NPI Profile

HANSEL POERWANTO DDS
NPI 1629521703
Dentist in Sacramento, CA

Active since July 26, 2016PECOS Enrolled
1860 HOWE AVE STE 440, SACRAMENTO, CA 95825(916) 569-8484 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2023, Sep 14, 2020 (2 updates tracked since 2020).

About Hansel Poerwanto Dds NPPES

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

HANSEL POERWANTO DDS (NPI 1629521703) is an individual dentist in Sacramento, California, licensed in California (100447) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629521703
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameHANSEL POERWANTOCredential: DDS
Location Address1860 HOWE AVE STE 440Sacramento, CA 95825-1098
Mailing AddressPo Box 7194Stockton, CA 95267-0194
Phone(916) 569-8484
Sole ProprietorNo
Enumeration DateJuly 26, 2016
Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2023
✔ NPI 1629521703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 100447
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.
1860 HOWE AVE STE 440, Sacramento, CA 95825
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Hansel Poerwanto 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 95825 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 2

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

ZARIA ALI
Counselor
1860 HOWE AVE STE 440
SACRAMENTO, CA 95825
Sacramento County (916) 569-8484
KAITLYN MARIE BURNS
Dental Hygienist
1860 HOWE AVE STE 440
SACRAMENTO, CA 95825
Sacramento County (916) 454-2345

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 Hansel Poerwanto's NPI number?

The NPI number for Hansel Poerwanto is 1629521703. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Hansel Poerwanto located?

Hansel Poerwanto practices at 1860 Howe Ave Ste 440, Sacramento, CA 95825. The listed phone number is (916) 569-8484.

What is Hansel Poerwanto's specialty?

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

Is Hansel Poerwanto enrolled in Medicare?

Yes. Hansel Poerwanto is registered in the Medicare PECOS enrollment system.

What insurance does Hansel Poerwanto 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 6 other insurers list Hansel Poerwanto 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 Hansel Poerwanto was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.