Individual provider Active NPI

Peter Hanson, D.C.

  • Chiropractor
  • Lake Stevens, WA
National Provider Identifier
1356495303
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2723 Issued in WA
Practice address
905 Sr 9
Lake Stevens, WA 98258-9484
Phone
(425) 344-5066
Fax
(425) 355-4787
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2723 WA Primary

Addresses

Primary practice location

905 Sr 9
Lake Stevens, WA 98258-9484

Mailing address

905 Sr 9
Lake Stevens, WA 98258-9484
Phone (425) 344-5066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2723WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Stevens Chiropractic, PLLC Chiropractor CurrentSince Mar 12, 2023 Accepting new patients
Chiro One Wellness Center of North Everett PLLC Chiropractor CurrentSince Jan 6, 2022 Accepting new patients

Locations

11314 4th Ave W
Ste 103
Everett, WA 98204
Phone (425) 355-3739

905 State Route 9 NE
Lake Stevens, WA 98258
Phone (425) 334-5066

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1356495303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SR 9",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589484",
            "telephone_number": "425-344-5066",
            "fax_number": "425-355-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SR 9",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589484",
            "telephone_number": "425-344-5066",
            "fax_number": "425-355-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.