Dennis D Hanson, DC
Individual provider Active NPI Chiropractor · Fertile, MN
NPI 1023045945 · NPPES record last updated Mar 3, 2010
Key facts
- NPI
- 1023045945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2832 (MN)
- Practice address
- 306 North Mill Street
Fertile, MN 56540-0555 - Phone
- (218) 945-3220
- Fax
- (218) 945-3220
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hanson Chiropractic Clinic PA
Practice addresses (Care Compare)
306 N Mill St
Fertile, MN 56540-4330
Phone (218) 945-3220
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050210000427 | MN | Practitioner - Chiropractic | 9436101136 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanson Chiropractic Clinic PA | Chiropractor | Current |
Accepting new patients |
Locations
306 N Mill St
Fertile, MN 56540
Phone (218) 945-3220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2832 | MN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 665228000 | Medicaid | MN | |
| 19806 | Other | ND | BCND |
| 1H004HA | Other | MN | BCBS |
Other providers in Fertile, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.