Individual provider Active NPI

Hossein Hamadanchi, D.C

  • Chiropractor
  • Saint Joseph, MI
National Provider Identifier
1265432272
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004684 Issued in MI
Practice address
2914 Division St
St. Joseph, MI 49085-2437
Phone
(269) 983-2221
Fax
(269) 983-2245
NPI assigned
Aug 1, 2005
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004684 MI Primary

Addresses

Primary practice location

2914 Division St
St. Joseph, MI 49085-2437

Mailing address

2914 Division St
Saint Joseph, MI 49085-2437
Phone (269) 983-2221

Other identifiers 1

IdentifierTypeStateIssuer
1563540MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001742 MI Practitioner - Chiropractic 3779609672 Practice locations: Saint Joseph, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2914 Division St
Saint Joseph, MI 49085-2437
Phone (269) 983-2221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1265432272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 DIVISION ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852437",
            "telephone_number": "269-983-2221",
            "fax_number": "269-983-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 DIVISION ST",
            "city": "ST. JOSEPH",
            "state": "MI",
            "postal_code": "490852437",
            "telephone_number": "269-983-2221",
            "fax_number": "269-983-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADANCHI",
        "first_name": "HOSSEIN",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1563540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.