Organization Active NPI

Corey G. Hahn, D.C. LLC

  • Chiropractor
  • Chesterfield, MO
National Provider Identifier
1003393372
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2014032317 Issued in MO
Legal business name
COREY G. HAHN, D.C. LLC
Practice address
141 Chesterfield Business Pkwy
Chesterfield, MO 63005-1233
Phone
(636) 778-2574
Fax
(636) 778-2573
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Corey G Hahn, DCNPI 1710225354
Title
Owner/Chiropractor
Phone
(636) 778-2574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2014032317 MO Primary

Addresses

Primary practice location

141 Chesterfield Business Pkwy
Chesterfield, MO 63005-1233

Mailing address

141 Chesterfield Business Pkwy
Chesterfield, MO 63005-1233
Phone (636) 778-2574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180802002003 MO Part B Supplier - Clinic/Group Practice 6608124904 Receives reassigned benefits from 1 practitioner
Practice locations: St Peters, MO

National Provider Directory

National Provider Directory

Locations

141 Chesterfield Business Pkwy
Chesterfield, MO 63005
Phone (636) 778-2574

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1003393372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CHESTERFIELD BUSINESS PKWY",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051233",
            "telephone_number": "636-778-2574",
            "fax_number": "636-778-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CHESTERFIELD BUSINESS PKWY",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051233",
            "telephone_number": "636-778-2574",
            "fax_number": "636-778-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY G. HAHN, D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "636-778-2574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014032317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.