Organization Active NPI

Hanssen Chiropractic Clinic, P.C.

  • Chiropractor
  • Grand Island, NE
National Provider Identifier
1053406074
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HANSSEN CHIROPRACTIC CLINIC, P.C.
Practice address
706 W 4TH St
Grand Island, NE 68801-4529
Phone
(308) 382-7470
Fax
(308) 382-9398
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Mrs. Elaine M Church, C.A.
Title
Chiropractic Assistant
Phone
(308) 382-7470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

706 W 4TH St
Grand Island, NE 68801-4529

Mailing address

706 W 4TH St
Grand Island, NE 68801-4529
Phone (308) 382-7470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110224000719 NE Part B Supplier - Clinic/Group Practice 9234310186 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Island, NE

National Provider Directory

National Provider Directory

Locations

706 W 4th St
Grand Island, NE 68801
Phone (308) 382-7470

Practitioners & affiliated clinicians

Practitioners 1

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1053406074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W 4TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014529",
            "telephone_number": "308-382-7470",
            "fax_number": "308-382-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W 4TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014529",
            "telephone_number": "308-382-7470",
            "fax_number": "308-382-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSSEN CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTIC ASSISTANT",
        "authorized_official_telephone_number": "308-382-7470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.