DR. ROBERT CARL HANSEN JR. (NPI# 1861578189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861578189 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CARL HANSEN JR. |
| Credential | DDS |
| Practice Address |
1115 South St Waterloo IA 50702-2330 |
| Practice Telephone | 3192332759 |
| Practice Fax Number | 3192334852 |
| Mailing Telephone | 3192332759 |
| Mailing Fax Number | 3192334852 |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6036 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0098178 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774569 | Robert Jerel Hansen | Pharmacist | 1633 Lower Monitor Rd, Wenatchee, WA 98801-9021 | 2018-09-18 |
| 1023462991 | Robert Hansen | Chiropractor | 215 18th St Se, Owatonna, MN 55060-4003 | 2016-04-18 |
| 1508273418 | Robert Hansen | Counselor | 1202 23rd St S Ste 5, Fargo, ND 58103-2951 | 2014-07-14 |
| 1265516652 | Robert G Hansen | Psychologist | One St Francis Drive, 9th Floor, Greenville, SC 29601 | 2006-10-24 |
| 1023191236 | Robert Kelly Hansen | Pharmacist | 514 Peregrine Cv, Layton, UT 84040-4514 | 2006-10-23 |
| 1407821317 | Robert M Hansen | Anesthesiology | 1335 Buenaventura Blvd, Suite 100, Redding, CA 96001-0160 | 2006-02-22 |
| 1619969227 | Robert Blaine Hansen | Psychiatry & Neurology | 6275 E Virginia Beach Blvd, Suite 303, Norfolk, VA 23502-2851 | 2005-08-19 |
| 1467019687 | Robert Hansen | Counselor | 232 E Canon Perdido St, Santa Barbara, CA 93101-2242 | 2019-05-22 |
| 1457783623 | Robert Eugene Hansen | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2013-07-30 |
| 1902142870 | Robert H Hansen IIi | Orthopaedic Surgery | 2301 S Clear Creek Rd, Suite 204, Killeen, TX 76549-4119 | 2012-12-21 |
| Street Address |
1115 SOUTH ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013447515 | Alex Michael Vitzthum | Dentist | 1115 South St, Waterloo, IA 50702-2330 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659753069 | Hannah Rose Leuschen | Dentist | 4015 Hurst Dr, Waterloo, IA 50701-9035 | 2015-06-22 |
| 1437571320 | Waterloo Family Dental | Dentist | 245 N. Monroe Street, Waterloo, WI 53594 | 2014-01-10 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1447400791 | Dr John F Blattner & Dr Dwight D Heberer PC | Dentist | 226 Westview Plaza Dr, Waterloo, IL 62298-1253 | 2008-09-23 |
| 1720236128 | Bradley W Mitchell | Dentist | 413 W 3rd St, Waterloo, IL 62298-1358 | 2008-08-28 |
| 1386808079 | Christopher Glenn Eastman | Dentist | 2765 Crossroads Blvd, Waterloo, IA 50702 | 2008-07-11 |
| 1033237318 | Dr Darryll L Beard Dmd Ltd | Dentist | 208 Bradford Lane, Waterloo, IL 62298 | 2007-03-26 |
| 1043363757 | Martin E. Averill | Dentist | 2102 Kimball Ave, Waterloo, IA 50702-5037 | 2007-01-18 |
| 1487703286 | Larry G Payne | Dentist | 605 S Wayne St, Waterloo, IN 46793-9472 | 2007-01-09 |
| 1689730327 | John Vernon Jetty | Dentist | 86 Center St, Waterloo, NY 13165-1026 | 2006-12-28 |
| Find all providers in WATERLOO | ||||
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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.