Organization Active NPI

Hankison Family Chiropractic & Acupuncture Inc.

  • Chiropractor
  • Crestview, FL
National Provider Identifier
1346488186
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HANKISON FAMILY CHIROPRACTIC & ACUPUNCTURE INC.
Practice address
1455 S Ferdon Blvd
D2
Crestview, FL 32536-4901
Phone
(850) 683-0000
Fax
(850) 683-0000
NPI assigned
Feb 2, 2009
Last updated
Aug 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Dr. Heather HankisonNPI 1497798672
Title
Chiropractor
Phone
(850) 683-0000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1455 S Ferdon Blvd
D2
Crestview, FL 32536-4901

Mailing address

1455 S. Ferdon Blvd.
D2
Crestview, FL 32536-4900
Phone (850) 683-0000

Other identifiers 1

IdentifierTypeStateIssuer
381149200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111026000224 FL Part B Supplier - Clinic/Group Practice 9234302902 Receives reassigned benefits from 1 practitioner
Practice locations: Crestview, FL

National Provider Directory

National Provider Directory

Locations

1455 S Ferdon Blvd
Ste D2
Crestview, FL 32536
Phone (850) 683-0000

Practitioners & affiliated clinicians

Practitioners 1

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": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1346488186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S. FERDON BLVD.",
            "address_2": "D2",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364900",
            "telephone_number": "850-683-0000",
            "fax_number": "850-683-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S FERDON BLVD",
            "address_2": "D2",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364901",
            "telephone_number": "850-683-0000",
            "fax_number": "850-683-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANKISON FAMILY CHIROPRACTIC & ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "HANKISON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "850-683-0000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381149200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.