Organization Active NPI

M Hanson Inc

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1316130263
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4238 Issued in TX
Legal business name
M HANSON INC
Practice address
1615 W Oleander St
Suite a
Fort Worth, TX 76104-4025
Phone
(214) 616-3355
Fax
(817) 632-5007
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. Mark L Hanson, D.C., L.ACNPI 1730189903
Title
Owner
Phone
(214) 616-3355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4238 TX Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00179 TX

Addresses

Primary practice location

1615 W Oleander St
Suite a
Fort Worth, TX 76104-4025

Mailing address

1615 W Oleander St
Suite a
Fort Worth, TX 76104-4025
Phone (214) 616-3355

Other identifiers 4

IdentifierTypeStateIssuer
0080PXOtherTXDC, LAC
8AK410OtherTXDC, LAC
ACN 672228OtherTXDC, LAC
8M8486OtherTXDC, LAC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071030000556 TX Part B Supplier - Clinic/Group Practice 8527155084 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

11441 N Stemmons Fwy
#241E
Dallas, TX 75229
Phone (972) 243-0022

5400 E Mockingbird Ln
Ste 214
Dallas, TX 75206
Phone (214) 821-9999

11441 N Stemmons Fwy
Ste 241
Dallas, TX 75229
Phone (972) 243-0022

1615 W Oleander St
Ste A
Fort Worth, TX 76104
Phone (214) 616-3355

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1316130263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W OLEANDER ST",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044025",
            "telephone_number": "214-616-3355",
            "fax_number": "817-632-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W OLEANDER ST",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044025",
            "telephone_number": "214-616-3355",
            "fax_number": "817-632-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M HANSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-616-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4238",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00179",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC, LAC",
            "identifier": "0080PX",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC, LAC",
            "identifier": "8AK410",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC, LAC",
            "identifier": "ACN 672228",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC, LAC",
            "identifier": "8M8486",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.