Mark Joseph Hanlon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007240 Issued in IA

Practice address

700 Main St
Suite 213
Pella, IA 50219-1682

Phone

(641) 628-8800

Fax

(641) 628-8808

NPI assigned

Jun 5, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1073749990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "address_2": "SUITE 213",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191682",
            "telephone_number": "724-322-2045",
            "fax_number": "641-628-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "address_2": "SUITE 213",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191682",
            "telephone_number": "641-628-8800",
            "fax_number": "641-628-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLON",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007240",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IA",
            "license": "007240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Kae Grote
• Claire Marie Groth
• Deborah L Guild, RD LD
• Teresa A Halstead
• Hanlon Chiropractic Services, Inc
• Janna Marie Hansen-Nolin
• Melissa Lee Hansen, PT
• Elizabeth Ann Brown Hardeman, LMSW
• Jaime Lee Harris, PHYSICAL THERAPIST
• Jeffrey Hartung, D.O.

• Chiropractor in Pella, IA
• Providers in Pella, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.