Organization Active NPI

Hanley Chiropractic Healthcare Inc.

  • Chiropractor
  • Beavercreek, OH
National Provider Identifier
1013197441
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2540 Issued in OH
Legal business name
HANLEY CHIROPRACTIC HEALTHCARE INC.
Practice address
955 Factory Rd
Beavercreek, OH 45434-6136
Phone
(937) 426-4545
Fax
(937) 426-4548
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Dr. Stuart D Hanley, DCNPI 1215956669
Title
Owner Operator
Phone
(937) 426-4545

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 SINGLE SPECIALTY GROUP 111N00000X 2540 OH Primary

Addresses

Primary practice location

955 Factory Rd
Beavercreek, OH 45434-6136

Mailing address

955 Factory Rd
Beavercreek, OH 45434-6136
Phone (937) 426-4545

Other identifiers 1

IdentifierTypeStateIssuer
2196350MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081027000043 OH Part B Supplier - Clinic/Group Practice 1557429115 Receives reassigned benefits from 1 practitioner
Practice locations: Beavercreek, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1013197441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 FACTORY RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346136",
            "telephone_number": "937-426-4545",
            "fax_number": "937-426-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 FACTORY RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346136",
            "telephone_number": "937-426-4545",
            "fax_number": "937-426-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANLEY CHIROPRACTIC HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "937-426-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2196350",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.