Individual provider
DR. JACE C. HANSEN, DMD, MS
CMS NPPES lists DR. JACE C. HANSEN as an individual provider record with NPI 1003027400. The current record reports a primary practice location in BOISE, ID and primary taxonomy code 1223P0300X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location6019 N. EAGLE RD.BOISE, ID 83713
- Additional practice location2273 S Vista Ave Ste 110Boise, ID 837057350
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
1223P0300XPrimary reported taxonomy390200000XAdditional reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- May 25, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.