P Praxis·MD
● Active Type 1 · Individual

DR. Jace C. Hansen, DMD, MS

Dentist·Boise, ID· NPI 1003027400 · Enumerated 2007 · 19 years on NPI
Hansen is 1 of 18 dentist providers in Boise and 1 of 37 in Idaho.
NPI age
19 years
Enumerated 2007-05-25
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-06-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 37 active dentist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 29% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
6019 N. Eagle Rd.
Boise, ID 83713
📞 2083772777fax 2083773075
Mailing address
6019 N. Eagle Rd.
Boise, ID 83713
📞 2083772777fax 2083773075

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2273 S Vista Ave Ste 110
Boise, ID 837057350
📞 2083772777fax 2083773075

Specialties

  • Dentist Primary
    That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
    ID license #D-4290 taxonomy 1223P0300X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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