Jason Hanba, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4558 Issued in NC

Practice address

1238 Abbotts Creek Cir
Kernersville, NC 27284-3757

Phone

(517) 294-0361

NPI assigned

Oct 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• North Shore Spinal Rehabilitation Center

  • Chiropractor
  • Evanston, IL
  • NPI 1922403211
  NPD (past)

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1316374341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 ABBOTTS CREEK CIR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843757",
            "telephone_number": "517-294-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 ABBOTTS CREEK CIR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843757",
            "telephone_number": "517-294-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANBA",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-04",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4558",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111N00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Hall, PHARMD
• Michael Graham Halsey, M.D.
• Patricia Hamer, MA, RBT
• Jennifer Ashley Hamilton, M.D.
• Madeline Hamilton
• Hand in Hand Mobile Therapy LLC
• Mark Hansen
• Angela Hanson, DO
• Amy Vanvoltenburg Harper, OD
• Kashmere Harper

• Chiropractor in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.