DR. GORDON KRISTIAN HANSEN (NPI# 1104976943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104976943 |
| Entity Type | Individual |
| Full Name | DR. GORDON KRISTIAN HANSEN |
| Credential | D.D.S., M.S. |
| Practice Address |
2050 W Dickerson St Suite A Bozeman MT 59718-6828 |
| Practice Telephone | 4065821790 |
| Practice Fax Number | 4065821789 |
| Mailing Telephone | 4065821790 |
| Mailing Fax Number | 4065821789 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1931 | MT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 110292 | 05 |
| Street Address |
2050 W DICKERSON ST SUITE A |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-6828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750520292 | Jeremy Mitchell Sayre | Dentist | 115 W Kagy Blvd Ste H, Bozeman, MT 59715-6043 | 2009-02-06 |
| 1720230386 | Ryan Michael Pulfer | Dentist | 3779 Baxter Lane, Bozeman, MT 59718 | 2008-10-15 |
| 1467519744 | Dickie S Nichols | Dentist | 208 N 11th Ave, Bozeman, MT 59715-3218 | 2007-01-03 |
| 1053426536 | Robert William Malloy Jr. | Dentist | 101 N 10th Ave, Bozeman, MT 59715-3203 | 2006-08-21 |
| 1518320118 | Rector Orthodontics | Dentist | 101 N 10th Ave, Bozeman, MT 59715-3203 | 2016-03-31 |
| 1376730853 | Dr Richard Nichols Orthodontics | Dentist | 208 N 11th Ave, Bozeman, MT 59715 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271215 | Mt Sds II, Pllc | Dentist | 1241 N Transtech Way, Billings, MT 59102-6783 | 2020-10-06 |
| 1215256912 | Adam Ostby | Dentist | 760 Wicks Ln Ste 4, Billings, MT 59105-4427 | 2010-05-20 |
| 1366696809 | Douglas Baird Bennion | Dentist | 152 S 32nd St W Ste A, Billings, MT 59102-6848 | 2008-11-11 |
| 1215116108 | Aaron Michael Bailey | Dentist | 2511 6th Ave S, Great Falls, MT 59405-3013 | 2007-10-29 |
| 1225220973 | Timothy C Ballweber | Dentist | 905 Helena Ave, Helena, MT 59601-3425 | 2007-08-16 |
| 1104022607 | Marlene Amy Ostby | Dentist | 1701 Avenue E Ste A, Billings, MT 59102-2943 | 2007-06-22 |
| 1689876179 | Troy R. Shaw | Dentist | 1300 S Reserve St Ste C, Missoula, MT 59801-4704 | 2007-06-05 |
| 1609098656 | Jeffrey J Karvandi | Dentist | 705 West Sussex Avenue, Missoula, MT 59801 | 2007-05-02 |
| 1548481096 | Robert C West | Dentist | 1301 12th Ave South, Suite #204, Great Falls, MT 59405 | 2007-05-01 |
| 1265568901 | Fred L. Sayre | Dentist | 705 W Sussex Ave, Missoula, MT 59801-6834 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.