Individual provider Active NPI

Mark John Hatesohl, D.C.

  • Chiropractor
  • Manhattan, KS
National Provider Identifier
1033172176
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-03683 Issued in KS
Practice address
1213 Hylton Heights Rd
Suite # 117
Manhattan, KS 66502-2810
Phone
(785) 537-8305
Fax
(785) 537-2573
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-03683 KS Primary

Addresses

Primary practice location

1213 Hylton Heights Rd
Suite # 117
Manhattan, KS 66502-2810

Mailing address

1213 Hylton Heights Rd
Suite # 117
Manhattan, KS 66502-2810
Phone (785) 537-8305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502001337 KS Practitioner - Chiropractic 3173562774 Receives reassigned benefits from 1 practitioner
Practice locations: Manhattan, KS

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1213 Hylton Heights Rd
Suite 117
Manhattan, KS 66502-2810

1213 Hylton Heights Rd
Suite 117
Manhattan, KS 66502-2812
Phone (785) 537-8305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-03683KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J Hatesohl DC Chiropractor Current Accepting new patients

Locations

1213 Hylton Heights Rd
Ste 117
Manhattan, KS 66502
Phone (785) 537-8305

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Practitioners & affiliated clinicians

Practitioners 1

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1033172176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HYLTON HEIGHTS RD",
            "address_2": "SUITE # 117",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022810",
            "telephone_number": "785-537-8305",
            "fax_number": "785-537-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HYLTON HEIGHTS RD",
            "address_2": "SUITE # 117",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022810",
            "telephone_number": "785-537-8305",
            "fax_number": "785-537-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATESOHL",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-03683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.