DR. JONATHAN GRANT HANSON (NPI# 1518073402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518073402 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN GRANT HANSON |
| Credential | D.D.S. |
| Practice Address |
1400 Southwest Blvd Suite C Jefferson City MO 65109-2490 |
| Practice Telephone | 5736357216 |
| Practice Fax Number | 5736352646 |
| Mailing Telephone | 5736357216 |
| Mailing Fax Number | 5736352646 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
011885 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982799219 | Jonathan Harold Hanson | Physical Therapist | 1813 O Ave, Anacortes, WA 98221-2344 | 2006-10-03 |
| 1205456977 | Jonathan Hanson | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-04-22 |
| 1689101511 | Jonathan Thomas Hanson | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2017-05-23 |
| 1134496557 | Jonathan Christopher Hanson | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2011-11-30 |
| 1992735583 | Jonathan B Hanson | Otolaryngology | 1373 E State Road 62, Madison, IN 47250 | 2006-07-03 |
| 1457395089 | Jonathan Hanson | Nurse Practitioner | 400 Campus Blvd Ste 100, Winchester, VA 22601-6906 | 2006-06-15 |
| Street Address |
1400 SOUTHWEST BLVD SUITE C |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215043104 | Richard Francis Graham | Dentist | 1400 Southwest Blvd, Suite C, Jefferson City, MO 65109-2490 | 2006-08-22 |
| 1740517564 | Thomas Ryan Orme | Dentist | 1400 Southwest Blvd, Suite A, Jefferson City, MO 65109-2430 | 2009-11-16 |
| 1144326745 | John L Whipple Jr. | Dentist | 1400 Southwest Blvd, Suite A, Jefferson City, MO 65109-2430 | 2006-09-15 |
| 1760599732 | Jefferson City Oral and Maxillofacial Surgery, LLC | Dentist | 1400 Southwest Blvd, Suite C, Jefferson City, MO 65109-2490 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215043104 | Richard Francis Graham | Dentist | 1400 Southwest Blvd, Suite C, Jefferson City, MO 65109-2490 | 2006-08-22 |
| 1760599732 | Jefferson City Oral and Maxillofacial Surgery, LLC | Dentist | 1400 Southwest Blvd, Suite C, Jefferson City, MO 65109-2490 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202943 | Kansas City Oral Surgery & Implant Center | Dentist | 8771 N Platte Purchase Dr, Kansas City, MO 64155-1829 | 2020-07-15 |
| 1700403722 | Kansas City Facial and Oral Surgery, LLC | Dentist | 2931 Ne Independence Ave., Lees Summit, MO 64064-6406 | 2020-06-26 |
| 1134767866 | Courtney Ethington | Dentist | 4 West Dr Ste 170, Chesterfield, MO 63017-1793 | 2019-12-12 |
| 1184130528 | Archway Oral Surgery and Dental Implants | Dentist | 16 Hampton Village Plz Ste 200, Saint Louis, MO 63109-2128 | 2017-12-21 |
| 1780120410 | Ervin Simmons Iv Dmd LLC | Dentist | 3220 Parker Rd, Florissant, MO 63033-3733 | 2017-01-19 |
| 1437531209 | Federico Castillo Iv | Dentist | 2521 Cherry St, Kansas City, MO 64108-2750 | 2015-06-29 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| 1114347861 | Zachary L Brown | Dentist | 4700 Belleview Ave Ste L10, Kansas City, MO 64112-1360 | 2014-04-21 |
| 1265868863 | Gregory Pernoud | Dentist | 1204 E State Route 72, Rolla, MO 65401-3938 | 2013-09-16 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.