MEDICARE: MR. CRAIG K. HANSEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2541	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0001972	OTHER	SD	WELLMARK BLUE CROSS

General Provider Information

NPI Number	:	1730242033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CRAIG K. HANSEN M.D.

Provider Business Mailing Address
First Line	:	2620 JACKSON BLVD
Second Line	:	#C
City	:	RAPID CITY
State	:	SD
Zip	:	57702-3478
Country	:	US
Telephone Number	:	605-341-1208
Fax Number	:	605-341-3552

Provider Business Practice Location Address
First Line	:	2620 JACKSON BLVD
Second Line	:	#C
City	:	RAPID CITY
State	:	SD
Zip	:	57702-3478
Country	:	US
Telephone Number	:	605-341-1208
Fax Number	:	605-341-3552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	03/14/2011

Similar Medicare Providers

1306704556 — DR. ROBERT JOHN BAUNE DNP
Practice Location Address:

2620 JACKSON BLVD STE G
RAPID CITY, SD
57702-3478

Practice Phone: 605-600-7880
Practice Fax:

1225040272 — DR. JOSEPH ALVIN KIEFFER D.D.S.
Practice Location Address:

5816 SHERIDAN LAKE RD
RAPID CITY, SD
57702-3478

Practice Phone: 605-716-7527
Practice Fax: 605-716-7529

1073525051 — DR. ELIZABETH ANN KIEFFER D.D.S.
Practice Location Address:

5816 SHERIDAN LAKE RD
RAPID CITY, SD
57702-3478

Practice Phone: 605-716-7527
Practice Fax: 605-716-7529

1508081324 — THOMAS E BENJAMIN DDS
Practice Location Address:

2620 JACKSON BLVD STE B
RAPID CITY, SD
57702-3478

Practice Phone: 605-348-1712
Practice Fax:

1447449079 — CRAIG K. HANSEN
Practice Location Address:

2620 JACKSON BLVD , SUITE C
RAPID CITY, SD
57702-3478

Practice Phone: 605-341-1208
Practice Fax: 605-341-3552

1659541225 — BLACK HILLS ORTHODONTICS, PROF. L.L.C.
Practice Location Address:

2620 JACKSON BLVD STE A
RAPID CITY, SD
57702-3478

Practice Phone: 605-343-1500
Practice Fax:

Directions to “ MR. CRAIG K. HANSEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.