Organization Active NPI

Hansen Chiropractic and Neurology Health Center P C

  • Chiropractor
  • Burley, ID
National Provider Identifier
1306018429
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-936 Issued in ID
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C1450OtherIDBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120504000010 ID Part B Supplier - Clinic/Group Practice 4880856046 Receives reassigned benefits from 1 practitioner
Practice locations: Burley, ID

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.