Active NPI
Merlin Grace Hannes, D.C
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1124247796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29282
- Practice address
- 3407 W 6TH St Ste 604
Los Angeles, CA 90020-2553 - Phone
- (213) 422-7052
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29282 | CA | Primary |
Addresses
Primary practice location
3407 W 6TH St Ste 604
Los Angeles, CA 90020-2553
Mailing address
145 Hurlbut St Apt 306
Pasadena, CA 91105-3131
Phone (213) 422-7052
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 |
|---|---|---|---|
| 29282 | CA | MD | Clinical Child & Adolescent Psychologist |
| DC29282 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124247796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HURLBUT ST APT 306",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053131",
"telephone_number": "213-422-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 W 6TH ST STE 604",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900202553",
"telephone_number": "213-422-7052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNES",
"first_name": "MERLIN",
"middle_name": "GRACE",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.