Active NPI
David Cardon Hansen, D.C.
- Rehabilitation Chiropractor
- Phoenix, AZ
National Provider Identifier
1194893610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 7650
- Practice address
- 3220 East Baseline Rd.
Suite 112
Phoenix, AZ 85042 - Phone
- (480) 228-0755
- NPI assigned
- Dec 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 7650 | AZ | Primary |
Addresses
Primary practice location
3220 East Baseline Rd.
Suite 112
Phoenix, AZ 85042
Mailing address
3220 East Baseline Rd.
Suite 112
Phoenix, AZ 85042
Phone (480) 228-0755
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 |
|---|---|---|---|
| 7650 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Physical Medicine LLC | Past | Accepting new patients | |
| Hansen Chiropractic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Phoenix, AZ
- NPI 1144646282
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1366781452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194893610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 EAST BASELINE RD.",
"address_2": "SUITE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85042",
"telephone_number": "480-228-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 EAST BASELINE RD.",
"address_2": "SUITE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85042",
"telephone_number": "480-228-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "DAVID",
"middle_name": "CARDON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AZ",
"license": "7650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
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.