Dwayne M. Hansen MD Pllc

Dwayne M. Hansen MD Pllc is a healthcare organization registered as Surgery Physician in Rexburg, ID, holding Type 2 (organization) NPI 1114024650 since 2006. The authorized official on file is Dwayne Hansen, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1114024650
Entity type	Organization (Type 2)
Legal business name	Dwayne M. Hansen MD Pllc
Practice address	381 EAST 4TH NORTH STREET, SUITE 100, Rexburg, ID, 83440
Phone	2086568442
Fax	2086568453
Enumeration date	2006-09-19
Last updated in NPPES	2007-12-06

Authorized official

Name	Dwayne Hansen
Title	Owner
Phone	2086568442

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
208600000X	Surgery Physician	Primary	—	—

Copy-ready billing details

Provider: Dwayne M. Hansen MD Pllc
NPI: 1114024650
Taxonomy: 208600000X (Surgery Physician)
Address: 381 EAST 4TH NORTH STREET, SUITE 100, Rexburg, ID, 83440

Verify this record

Cross-check NPI 1114024650 against the authoritative CMS record: view Dwayne M. Hansen MD Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Dwayne M. Hansen MD Pllc located?

The practice location on file with NPPES is in Rexburg, ID.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-12-06. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-12-06.