npidexNPI registry + Medicare data

DONOVAN HANSEN, D.D.S.

Oral and Maxillofacial Surgery (Dentist) · GILBERT, AZ

Individual Active Opted out of Medicare NPI 1700020146

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓D8601AZ

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2014-09-29 through 2026-09-29.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.