Individual provider Active NPI

John Oscar Hansen, D.C.

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1376736751
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001542 Issued in WA
Practice address
13412 Pacific Ave S
Tacoma, WA 98444-4866
Phone
(253) 531-5242
Fax
(253) 537-7293
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001542 WA Primary

Addresses

Primary practice location

13412 Pacific Ave S
Tacoma, WA 98444-4866

Mailing address

13412 Pacific Ave S
Tacoma, WA 98444-4866
Phone (253) 531-5242

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH00001542WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Health of Washington, Inc. Chiropractor Past Accepting new patients
Ideal Health of Washington, Inc. Chiropractor Past Accepting new patients

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1376736751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13412 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444866",
            "telephone_number": "253-531-5242",
            "fax_number": "253-537-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13412 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444866",
            "telephone_number": "253-531-5242",
            "fax_number": "253-537-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JOHN",
        "middle_name": "OSCAR",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.