Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215911920 Individual Practitioner Male Practitioner

Dr. Timothy A Hansen , DDS

Dentist • Meridian, ID

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Hansen, DDS is a registered healthcare professional specializing in Dentist in Meridian, ID. Practice services are available at 4702 N PENNGROVE WAY STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4702 N Penngrove Way Ste 100

Meridian, ID 836467449

Telephone 2089381825
Fax 2089385763
Associated Practice Facility / Clinic
🏢 Austin Creek Dental Pc Facility NPI 1710299433

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Meridian, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
43 Specialists

Practicing in Meridian, ID (448 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-04
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D3513

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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Todd Adams , DDS

Dentist - General Practice

NPI 1033308689

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 04, 2026

Registered at 4702 N PENNGROVE WAY STE 100, MERIDIAN, ID 836467449 (Tel: 2089381825)

📍
Updated Business Mailing Address June 04, 2026

Registered at 4702 N PENNGROVE WAY STE 100, MERIDIAN, ID 836467449 (Tel: 2089381825)

NPI Profile Active December 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2015

Registered at 4840 N ROSEPOINT WAY, STE A, BOISE, ID 837130954 (Tel: 2089381825)

📍
Updated Business Mailing Address December 02, 2015

Registered at 4840 N ROSEPOINT WAY, STE A, BOISE, ID 837130954 (Tel: 2089381825)

👤
Provider Name / Credentials Updated December 02, 2015

Recorded as TIMOTHY HANSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2015

Dentist (License #D3513 in ID)

🟢
Initial NPI Registration & Enumeration December 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215911920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2005
Last Update: June 04, 2026
Sole Proprietor: No

Mailing Address

4702 N Penngrove Way Ste 100

Meridian, ID 836467449

Phone: 2089381825

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.