P Praxis·MD
● Active Type 1 · Individual

DR. Timothy A Hansen, DDS

Dentist·Boise, ID· NPI 1215911920 · Enumerated 2005 · 20 years on NPI
Hansen is 1 of 143 dentist providers in Boise and 1 of 591 in Idaho.
NPI age
20 years
Enumerated 2005-12-06
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-12-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
4840 N Rosepoint Way, Ste A
Boise, ID 837130954
📞 2089381825fax 2089385763
Mailing address
4840 N Rosepoint Way, Ste A
Boise, ID 837130954
📞 2089381825fax 2089385763

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D3513 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (ID) 806797300

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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