Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dallas Gregory Hansen, MD

Individual provider Surgery Physician · NPI 1720214935

Dr. Dallas Gregory Hansen, MD is a General Surgery in Nellis AFB, Nevada. Graduated from Wright State University Boonshoft School of Medicine in 2014, 12 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada, Ohio and Virginia.

Years since qualifying
12
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
NV, OH, VA
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3533 Southern Blvd Ste 2100, Kettering, OH 45429-1267 — (937) 395-8556

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35132197 (OH)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 35132197 (OH)
Surgery Physician Taxonomy 208600000X · Licence 29543 (NV)
Surgery Physician Taxonomy 208600000X · Licence 0101248965 (VA)

Record details

NPI number1720214935
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 2, 2009
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Nellis AFB