Individual provider Active NPI

Edward Lewis Hansen, D.C.

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1285708750
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003098 Issued in WA
Practice address
2000 N State St
Bellingham, WA 98225-4218
Phone
(360) 671-1710
Fax
(360) 671-1605
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003098 WA Primary

Addresses

Primary practice location

2000 N State St
Bellingham, WA 98225-4218

Mailing address

2000 N State St
Bellingham, WA 98225-4218
Phone (360) 671-1710

Other identifiers 1

IdentifierTypeStateIssuer
8032724MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000063 WA Practitioner - Chiropractic 7719889062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hansen Chiropractic P SGroup PAC ID 6103728456, 16 clinicians

Practice addresses (Care Compare)

1015 14TH St
Suite a
Anacortes, WA 98221-5201
Phone (360) 293-3223

1934 Main St
Ferndale, WA 98248-9451
Phone (360) 384-1396

2000 N State St
Bellingham, WA 98225-4218
Phone (360) 671-1710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025202WAMDChiropractor
CH0003098WAMDChiropractor
3098WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hansen Chiropractic Chiropractor CurrentSince Feb 28, 2001 Accepting new patients
Hansen Chiropractic PS Chiropractor CurrentSince Feb 28, 2001 Accepting new patients
Hansen Chiropractic PS Chiropractor Current Accepting new patients
Hansen Chiropractic Chiropractor Past Accepting new patients
Hansen Chiropractic PS Chiropractor Past Accepting new patients
Hansen Chiropractic PS Chiropractor Past Accepting new patients
Hansen Chiropractic, P.S. Chiropractor Past Accepting new patients
Hansen Chiropractic, P.S. Chiropractor Past Accepting new patients
Hansen Chiropractic, P.S. Chiropractor PastSince Jan 1, 2007 Accepting new patients
Peripheral Nerve Clinic, PS PastSince Dec 5, 2012 Accepting new patients

Locations

1015 14th St
Ste A
Anacortes, WA 98221
Phone (360) 293-3223

3405 172nd St NE
Ste 25
Arlington, WA 98223
Phone (360) 474-4699

2000 N State St
Bellingham, WA 98225
Phone (360) 671-1710

5201 Evergreen Way
#A
Everett, WA 98203
Phone (425) 257-1000

102 Grover St
Ste 100
Lynden, WA 98264
Phone (360) 671-1710

1825 Riverside Dr
Ste A
Mount Vernon, WA 98273
Phone (360) 671-1710

7620 NE 119th Pl
Ste 100
Vancouver, WA 98682
Phone (360) 671-1710

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285708750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254218",
            "telephone_number": "360-671-1710",
            "fax_number": "360-671-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254218",
            "telephone_number": "360-671-1710",
            "fax_number": "360-671-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "EDWARD",
        "middle_name": "LEWIS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0003098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8032724",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

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.
  • 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.