Eric D Hansen DC Inc PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2899 Issued in WA

Legal business name

ERIC D HANSEN DC INC PS

Doing business as

Eastside Life Chiropractic

Practice address

2032 148TH Ave NE
Redmond, WA 98052

Phone

(425) 869-5808

Fax

(425) 283-5022

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric Davin Hansen, DC

Title

President

Phone

(425) 869-5808

Specialties & licenses 1

Addresses

Other names 1

• Eastside Life Chiropractic Doing business as

Locations

Practitioners 2

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

• Kammi Lynn Madsen, LMP

  • Massage Therapist
  • Redmond, WA
  • NPI 1780965681
  NPD (past)
• Tracey Alayne Ryder, D.C.

  • Chiropractor
  • Everett, WA
  • NPI 1275507303
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376621573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 148TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-869-5808",
            "fax_number": "425-283-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 148TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-869-5808",
            "fax_number": "425-283-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D HANSEN DC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DAVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-869-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasha Marie Enochs, LMP
• Joshua Aaron Ensley, LMHC
• Taimhyr Reece Ensor-Estes
• Epione Healing LLC
• Megan Erasmus, LMHC
• Cecily V Erickson, A.R.N.P.
• Steven E Eriksen, O.D.
• Natalie Rae Ervin, ARNP
• Ana Priscila Espindola Garzon, DPT, PT
• Cassandra Espinoza, LMP

• Chiropractor in Redmond, WA
• Providers in Redmond, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.