Organization Active NPI

Hannan Chiropractic Center,Inc

  • Nutrition Chiropractor
  • Glendora, CA
National Provider Identifier
1215325832
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
23268 Issued in CA
Legal business name
HANNAN CHIROPRACTIC CENTER,INC
Practice address
2028 E Route 66
Suite 202
Glendora, CA 91740-4609
Phone
(626) 914-1805
Fax
(626) 914-1807
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Forrest E Hannan, DC
Title
Owner
Phone
(626) 914-1805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 23268 CA Primary

Addresses

Primary practice location

2028 E Route 66
Suite 202
Glendora, CA 91740-4609

Mailing address

2028 E Route 66
Suite 202
Glendora, CA 91740-4609
Phone (626) 914-1805

National Provider Directory

National Provider Directory

Locations

2028 E Route 66
Ste 202
Glendora, CA 91740
Phone (626) 732-9611

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1215325832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E ROUTE 66",
            "address_2": "SUITE 202",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404609",
            "telephone_number": "626-914-1805",
            "fax_number": "626-914-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E ROUTE 66",
            "address_2": "SUITE 202",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404609",
            "telephone_number": "626-914-1805",
            "fax_number": "626-914-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAN CHIROPRACTIC CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "HANNAN",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-914-1805",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "23268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.