Kenneth Gordon Hansen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1640901202 Issued in UT

Practice address

218 E 800 S
Orem, UT 84058

Phone

(801) 225-2457

Fax

(801) 225-2537

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kenneth G Hansen

  • Chiropractor
  • Orem, UT
  • NPI 1396091039
  NPD (past) Authorized official

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1104891084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E 800 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585008",
            "telephone_number": "801-225-2457",
            "fax_number": "801-225-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E 800 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84058",
            "telephone_number": "801-225-2457",
            "fax_number": "801-225-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KENNETH",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "1640901202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350002765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Kenneth Hansen, D.C.
• Christopher Hansen
• Douglas Hansen, DMD
• Haley Hansen, PT, DPT
• Katherine Laura Hansen
• Louis Delynn Hansen, D.C.
• Lydia Saige Hansen
• McKell Hansen
• Nikalett Addy Hansen
• Sarah Lynn Hansen

• Chiropractor in Orem, UT
• Providers in Orem, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.