NPI 1396804597 · live from the CMS NPI Registry
Ty O Hanson, D.O.
Dermatology in Aberdeen, SD. National Provider Identifier 1396804597, active.
NPI record
| NPI | 1396804597 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3 Lafayette St S, Aberdeen, SD 57401 |
| Practice phone | 605-226-0560 |
| Enumerated | December 6, 2006 |
| Last updated | June 3, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Procedural Dermatology | 207NS0135X | 7021 (SD) |
| Dermatology | 207N00000X | 34-00-8163H (OH) |
| Dermatology primary | 207N00000X | 7021 (SD) |
| Dermatology, Procedural Dermatology | 207NS0135X | 34-00-8163H (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.