Active NPI
Michael William Hanley, D.C.
- Chiropractor
- Lebanon, TN
National Provider Identifier
1063572071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3399
- Practice address
- 1432 W Main St Ste 600
Lebanon, TN 37087-1396 - Phone
- (615) 424-3893
- NPI assigned
- Dec 11, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 3399 | TN | |
| Radiology Chiropractor | 111NR0200X | 3399 | TN | |
| Rehabilitation Chiropractor | 111NR0400X | 3399 | TN | |
| Sports Physician Chiropractor | 111NS0005X | 3399 | TN | |
| Chiropractor | 111N00000X | 3399 | TN | Primary |
Addresses
Primary practice location
1432 W Main St Ste 600
Lebanon, TN 37087-1396
Mailing address
1432 W Main St Ste 600
Lebanon, TN 37087-1396
Phone (615) 424-3893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3399 | TN | MD | Pediatric Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1063572071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 W MAIN ST STE 600",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871396",
"telephone_number": "615-424-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 W MAIN ST STE 600",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871396",
"telephone_number": "615-424-3893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLEY",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "TN",
"license": "3399",
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "TN",
"license": "3399",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TN",
"license": "3399",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TN",
"license": "3399",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.