Active NPI
Joshua Blake Hanisch, D.C, B.S.
- Chiropractor
- Des Moines, IA
National Provider Identifier
1295020410
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007433
- Practice address
- 4539 Douglas Ave
Suite a
Des Moines, IA 50310-2711 - Phone
- (515) 276-2263
- Fax
- (515) 251-2969
- NPI assigned
- Jun 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007433 | IA | Primary |
Addresses
Primary practice location
4539 Douglas Ave
Suite a
Des Moines, IA 50310-2711
Mailing address
4539 Douglas Ave
Suite a
Des Moines, IA 50310-2711
Phone (515) 276-2263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1295020410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4539 DOUGLAS AVE",
"address_2": "SUITE A",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503102711",
"telephone_number": "515-276-2263",
"fax_number": "515-251-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4539 DOUGLAS AVE",
"address_2": "SUITE A",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503102711",
"telephone_number": "515-276-2263",
"fax_number": "515-251-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANISCH",
"first_name": "JOSHUA",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "D.C, B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.