P Praxis·MD
● Active Type 1 · Individual

DR. Bryce D Hanson, D.M.D

Dentist·Shelley, ID· NPI 1629027099 · Enumerated 2006 · 20 years on NPI
Hanson is 1 of 4 dentist providers in Shelley and 1 of 591 in Idaho.
NPI age
20 years
Enumerated 2006-05-10
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-12
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 · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
371 W Fir St
Shelley, ID 832741456
📞 2083577611fax 2083571805
Mailing address
Po Box 525, 371 W.fir
Shelley, ID 832740525
📞 2083577611fax 2083571805

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 #D-3275 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (ID) 805031700

Practice context

Part of a multi-provider practice. 3 other active providers share 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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