Active NPI
Michael D. Hanley, D.C.
- Chiropractor
- Redding, CA
National Provider Identifier
1023009073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14932
- Practice address
- 2021 Victor Ave
Redding, CA 96002-0410 - Phone
- (530) 223-0790
- Fax
- (530) 223-3378
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14932 | CA | Primary |
Addresses
Primary practice location
2021 Victor Ave
Redding, CA 96002-0410
Mailing address
PO Box 494218
Redding, CA 96049-4218
Phone (530) 223-0790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100917000998 | CA | Practitioner - Chiropractic | 7517082290 | Practice locations: Redding, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14932 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1023009073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 494218",
"city": "REDDING",
"state": "CA",
"postal_code": "960494218",
"telephone_number": "530-223-0790",
"fax_number": "530-223-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 VICTOR AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960020410",
"telephone_number": "530-223-0790",
"fax_number": "530-223-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLEY",
"first_name": "MICHAEL",
"middle_name": "D.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.