Provider Demographics
NPI:1730059726
Name:HANSEN, DAKOTA LEWIS
Entity type:Individual
Prefix:
First Name:DAKOTA
Middle Name:LEWIS
Last Name:HANSEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-0112
Mailing Address - Country:US
Mailing Address - Phone:308-254-6270
Mailing Address - Fax:
Practice Address - Street 1:1834 13TH AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-2533
Practice Address - Country:US
Practice Address - Phone:308-254-6270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant