Active NPI
Hansen Chiropractic and Neurology Health Center P C
- Chiropractor
- Burley, ID
National Provider Identifier
1306018429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-936
- Legal business name
- HANSEN CHIROPRACTIC AND NEUROLOGY HEALTH CENTER P C
- Practice address
- 1210 Oakley Ave
Burley, ID 83318-1840 - Phone
- (208) 878-2273
- Fax
- (208) 878-2275
- NPI assigned
- Mar 28, 2008
- Last updated
- Mar 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ann Haran
- Title
- Billing Specialist Records
- Phone
- (208) 878-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-936 | ID | Primary |
Addresses
Primary practice location
1210 Oakley Ave
Burley, ID 83318-1840
Mailing address
1210 Oakley Ave
Burley, ID 83318-1840
Phone (208) 878-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1450 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1210 Oakley Ave
Burley, ID 83318
Phone (208) 670-2206
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Burley, ID
- NPI 1255318739
-
- Chiropractor
- Burley, ID
- NPI 1215230859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710979200000",
"number": "1306018429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 OAKLEY AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833181840",
"telephone_number": "208-878-2273",
"fax_number": "208-878-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 OAKLEY AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833181840",
"telephone_number": "208-878-2273",
"fax_number": "208-878-2275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANSEN CHIROPRACTIC AND NEUROLOGY HEALTH CENTER P C",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-28",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A",
"authorized_official_last_name": "HARAN",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "BILLING SPECIALIST RECORDS",
"authorized_official_telephone_number": "208-878-2273",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "C1450",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.