Individual provider Active NPI

Eric John Hahn, D.C.

  • Chiropractor
  • Cottage Grove, MN
National Provider Identifier
1336254580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4311 Issued in MN
Practice address
7424 E Point Douglas Rd S
Cottage Grove, MN 55016-3025
Phone
(651) 458-5565
Fax
(651) 458-5023
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4311 MN Primary

Addresses

Primary practice location

7424 E Point Douglas Rd S
Cottage Grove, MN 55016-3025

Mailing address

7424 E Point Douglas Rd S
Cottage Grove, MN 55016-3025
Phone (651) 458-5565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000714 MN Practitioner - Chiropractic 7113959396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Oasis Chiropractic PAGroup PAC ID 8123050309, 2 clinicians

Practice addresses (Care Compare)

7424 E Point Douglas Rd S
Cottage Grove, MN 55016-3025
Phone (651) 458-5565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4311MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Chiropractic PA Chiropractor CurrentSince Feb 28, 2003 Accepting new patients

Locations

7424 E Point Douglas Rd S
Ste 300
Cottage Grove, MN 55016
Phone (514) 585-5656

7424 E Point Douglas Rd S
Cottage Grove, MN 55016
Phone (651) 398-2869

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336254580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 E POINT DOUGLAS RD S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163025",
            "telephone_number": "651-458-5565",
            "fax_number": "651-458-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 E POINT DOUGLAS RD S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163025",
            "telephone_number": "651-458-5565",
            "fax_number": "651-458-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.