Organization Active NPI

Hanson Chiropractic Clinic Inc.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1225202294
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003630 Issued in WA
Legal business name
HANSON CHIROPRACTIC CLINIC INC.
Practice address
3002 NE 127TH St
Seattle, WA 98125
Phone
(206) 306-2494
Fax
(206) 306-9351
NPI assigned
Apr 21, 2008
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Dr. Michael Hanson, D.C.NPI 1902945520
Title
Owner/Chiropractor
Phone
(206) 306-2494

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 CH00003630 WA Primary

Addresses

Primary practice location

3002 NE 127TH St
Seattle, WA 98125

Mailing address

11300 Roosevelt Way NE
Suite 201
Seattle, WA 98125-6242
Phone (206) 306-2494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080912000169 WA Part B Supplier - Clinic/Group Practice 9830265016 Receives reassigned benefits from 2 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

11300 Roosevelt Way NE
Ste 201
Seattle, WA 98125
Phone (206) 306-2494

3002 NE 127th St
Seattle, WA 98125
Phone (206) 306-2494

Practitioners & affiliated clinicians

Practitioners 9

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": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1225202294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 ROOSEVELT WAY NE",
            "address_2": "SUITE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256242",
            "telephone_number": "206-306-2494",
            "fax_number": "206-306-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 NE 127TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "206-306-2494",
            "fax_number": "206-306-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSON CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "206-306-2494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.