Organization Active NPI

Hansen Chiropractic PLLC

  • Chiropractor
  • League City, TX
National Provider Identifier
1144762212
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13309 Issued in TX
Legal business name
HANSEN CHIROPRACTIC PLLC
Practice address
1504 W League City Pkwy Ste 100
League City, TX 77573-7337
Phone
(409) 457-6209
NPI assigned
Nov 7, 2016
Last updated
Jun 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Authorized official

Name
Dr. Benjamin Joseph Hansen, DCNPI 1477003374
Title
Ceo
Phone
(409) 457-6209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13309 TX Primary

Addresses

Primary practice location

1504 W League City Pkwy Ste 100
League City, TX 77573-7337

Mailing address

1504 W League City Pkwy Ste 100
League City, TX 77573-7337

Other identifiers 1

IdentifierTypeStateIssuer
562600OtherTXMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170327000830 TX Part B Supplier - Clinic/Group Practice 5193000545 Receives reassigned benefits from 1 practitioner
Practice locations: League City, TX

National Provider Directory

National Provider Directory

Locations

1504 W League City Pkwy
Ste 100
League City, TX 77573
Phone (281) 672-7187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1144762212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 W LEAGUE CITY PKWY STE 100",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 W LEAGUE CITY PKWY STE 100",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737337",
            "telephone_number": "409-457-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-457-6209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "562600",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.