Jeffrey G Hanks, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273275 Issued in OR

Practice address

6837 W Charleston Blvd
Las Vegas, NV 89117-1635

Phone

(702) 256-7240

Fax

(702) 240-2072

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hanks Chiropractic PC

  • Chiropractor
  • Lagrande, OR
  • NPI 1962697607
  NPD (past) Authorized official
• Grande Ronde Chiropractic Clinic, LLC

  • Chiropractor
  • La Grande, OR
  • NPI 1780835132
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1255413290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 J AVE",
            "city": "LAGRANDE",
            "state": "OR",
            "postal_code": "97850",
            "telephone_number": "541-963-0339",
            "fax_number": "541-663-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6837 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171635",
            "telephone_number": "702-256-7240",
            "fax_number": "702-240-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "JEFFREY",
        "middle_name": "G",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "849454000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrard Hankins
• Xavier Laqwon Hankins
• Camary Hanks
• Cindy L. Hanks, MFT, NCC, LPC, REV.
• Elizabeth Ashley Hanks, PA-C
• Jennifer Hanks, OTR/L
• Jessica Hanks
• Michelle Hanks
• Nikky Hanks
• Linda Anne Hanley, RPH

• All providers in Las Vegas, NV
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.