BRYCE D HANSON, DMD PA (NPI# 1851798045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851798045 |
| Entity Type | Organization |
| Organization Name | BRYCE D HANSON, DMD PA |
| Other Organization Name | RIVER VALLEY DENTAL CARE |
| Practice Address |
371 W Fir St Shelley ID 83274-1456 |
| Mailing Address |
Po Box 525 Shelley ID 83274-0525 |
| Practice Telephone | 2083577611 |
| Practice Fax Number | 2083571805 |
| Mailing Telephone | 2083577611 |
| Mailing Fax Number | 2083571805 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | DR. BRYCE D HANSON (OWNER) |
| Authorized Official Telephone | 2083577611 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D-3275 | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 0025-57200 | 05 | |
| ID | 119-477-4109 | 05 | |
| ID | 8050-31700 | 05 |
| Other Name | Type Code |
|---|---|
| River Valley Dental Care | Doing Business As Name - Organization |
| Street Address |
371 W FIR ST |
| City | SHELLEY |
| State | ID |
| Zip Code | 83274-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194774109 | Dr Steven F Nielsen Dds Pa | Dentist | 371 W Fir St, Shelley, ID 83274-1456 | 2006-05-08 |
| 1528018967 | Steven F Nielsen | Dentist | 371 W Fir St, Shelley, ID 83274-1456 | 2006-05-10 |
| 1629027099 | Bryce D Hanson | Dentist | 371 W Fir St, Shelley, ID 83274-1456 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976045 | Tyson Hanson | Respite Care | 1496 N 1070 E, Sheley, ID 83274 | 2020-06-10 |
| 1760631949 | Curtis W Carpenter | Dentist | 295 Anderson Rd, Shelley, ID 83274 | 2008-09-12 |
| 1093908741 | Helmsman Services LLC | Community/Behavioral Health | 175 W. Pine St, Shelley, ID 83274 | 2007-08-24 |
| 1871620906 | John R Stohl | Dentist | 530 S State St, Shelley, ID 83274 | 2007-02-27 |
| 1366542391 | Blackfoot Medical Clinic, Inc | Family Medicine | 210 S Emerson St, Shelley, ID 83274 | 2006-09-22 |
| 1174775902 | Shelley Dental, Inc | Dentist | 530 S State St, Shelley, ID 83274 | 2008-10-10 |
| 1043724990 | Randall Searle | Chiropractor | 120 N Emerson Ave, Shelley, ID 83274-1105 | 2017-11-29 |
| 1215437751 | Elevated Life Family Chiropractic Pllc | Chiropractor | 120 N Emerson Ave, Shelley, ID 83274-1105 | 2018-02-20 |
| 1780784769 | Parkway Eyecare PC | Optometrist | 524 N State St, Shelley, ID 83274-1154 | 2006-09-22 |
| 1962436253 | Travis R Wilkins | Chiropractor | 528 N State St, Shelley, ID 83274-1154 | 2006-07-10 |
| Find all providers in zip 83274 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864384 | Kuna Kids Dentistry PC | Clinic/Center | 1385 N Jacksonmill Ave, Kuna, ID 83634-2042 | 2020-09-08 |
| 1720691785 | Advanced Dentistry of Mccall | Clinic/Center | 313 Deinhard Ln, Mccall, ID 83638-4703 | 2020-08-28 |
| 1720698608 | Club 32 Dental | Clinic/Center | 624 3rd St S, Nampa, ID 83651-3840 | 2020-08-05 |
| 1831732502 | Hughes Dental Pllc | Clinic/Center | 834 Falls Ave Ste 2030, Twin Falls, ID 83301-3365 | 2019-10-24 |
| 1083279087 | Idaho Buckeye Inc | Clinic/Center | 1537 2nd Ave S, Payette, ID 83661-2919 | 2019-05-06 |
| 1639637168 | Scott Carter, Inc | Clinic/Center | 982 Banks Lowman Rd, Garden Valley, ID 83622 | 2019-03-04 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1831678903 | Town Square Dental Partners, Pllc | Clinic/Center | 8660 W Emerald St Ste 152, Boise, ID 83704-4828 | 2018-08-09 |
| 1265935902 | Wilson Dental Pllc | Clinic/Center | 10497 W Garverdale Ct Ste 107, Boise, ID 83704-5468 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRYCE D HANSON, DMD PA.
| 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.