Individual provider Active NPI

Dennis D Hanson, DC

  • Chiropractor
  • Fertile, MN
National Provider Identifier
1023045945
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2832 Issued in MN
Practice address
306 North Mill Street
Fertile, MN 56540-0555
Phone
(218) 945-3220
Fax
(218) 945-3220
NPI assigned
Jun 27, 2006
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2832 MN Primary

Addresses

Primary practice location

306 North Mill Street
Fertile, MN 56540-0555

Mailing address

PO Box 555
Fertile, MN 56540-0555
Phone (218) 945-3220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000427 MN Practitioner - Chiropractic 9436101136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanson Chiropractic Clinic PAGroup PAC ID 4688688427, 2 clinicians

Practice addresses (Care Compare)

306 N Mill St
Fertile, MN 56540-4330
Phone (218) 945-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2832MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hanson Chiropractic Clinic PA Chiropractor CurrentSince Jan 1, 2006 Accepting new patients

Locations

306 N Mill St
Fertile, MN 56540
Phone (218) 945-3220

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1023045945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "FERTILE",
            "state": "MN",
            "postal_code": "565400555",
            "telephone_number": "218-945-3220",
            "fax_number": "218-945-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 NORTH MILL STREET",
            "city": "FERTILE",
            "state": "MN",
            "postal_code": "565400555",
            "telephone_number": "218-945-3220",
            "fax_number": "218-945-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "DENNIS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fertile, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.