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TRAVIS C HANSON DO
NPI 1720875990
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since April 22, 2025PECOS Enrolled
1400 S DOBSON RD, MESA, AZ 85202(480) 412-3000 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Travis C Hanson Do NPPES

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

TRAVIS C HANSON DO (NPI 1720875990) is an individual student in an organized health care education/training program in Mesa, Arizona and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1720875990
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTRAVIS C HANSONCredential: DO
Location Address1400 S DOBSON RDMesa, AZ 85202-4707
Mailing Address1400 S Dobson RdMesa, AZ 85202-4707 · (480) 412-3000
Phone(480) 412-3000
Sole ProprietorNo
Enumeration DateApril 22, 2025
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1720875990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1400 S DOBSON RD, Mesa, AZ 85202
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Secondary Practice Location 1

Location 11300 S Country Club Dr Ste 3Mesa, AZ 85210-5162 · Phone (480) 827-5500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis C Hanson Do 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.

Other Providers at the Same Location NPPES 20

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

VIREN PATEL PHARMD
Pharmacist
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-4250
DR. EMMANUEL A BAYONGAN M.D.
Internal Medicine (Critical Care Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 543-2034
DR. HEATHER ANNE LEINBACH PHARMD
Pharmacist (Pharmacotherapy)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-5616
DRAKE HERRING RRA
Radiology Practitioner Assistant
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-3773
SAVANNAH BABCOCK
Registered Nurse
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000
DR. HOLLY MCDANIEL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (602) 685-5211
CHARLES H PSHAENICH MD
Emergency Medicine
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 456-9500
MADHURI KASHYAP MD
Emergency Medicine (Pediatric Emergency Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000

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 Travis Hanson's NPI number?

The NPI number for Travis Hanson is 1720875990. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Travis Hanson located?

Travis Hanson practices at 1400 S Dobson Rd, Mesa, AZ 85202. The listed phone number is (480) 412-3000.

What is Travis Hanson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Travis Hanson enrolled in Medicare?

Yes. Travis Hanson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Travis Hanson was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.