● Active Type 2 · Organization
Bryce D Hanson, DMD PA
Clinic/Center·Shelley, ID· NPI 1851798045
·
Enumerated 2014 · 11 years on NPI
Bryce D Hanson, DMD PA is 1 of 202 clinic/center organizations in Idaho.
NPI age
11 years
Enumerated 2014-12-03
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hanson
Owner
Last NPPES update
2014-12-03
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
11 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
371 W Fir St
Shelley, ID 832741456
📞 2083577611fax 2083571805
Mailing address
Po Box 525
Shelley, ID 832740525
📞 2083577611fax 2083571805
Authorized official
Bryce D Hanson, DMD
Owner
📞 2083577611
Individual providers at this organization
2 individual providers on file at this primary practice address.
Identifiers
| Type | Value | Notes |
| 05 (ID) |
0025-57200 |
|
| 05 (ID) |
119-477-4109 |
|
| 05 (ID) |
8050-31700 |
|
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.