Noah Jack Hanson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6810 Issued in MN

Practice address

306 N Mill St
Fertile, MN 56540-4330

Phone

(218) 945-3220

NPI assigned

Feb 1, 2021

Last updated

Feb 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hanson Chiropractic Clinic PAGroup PAC ID 4688688427, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hanson Chiropractic Clinic PA

  • Chiropractor
  • Fertile, MN
  • NPI 1477589141
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1396336434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13562 435TH ST SW",
            "city": "FERTILE",
            "state": "MN",
            "postal_code": "565409102",
            "telephone_number": "218-280-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N MILL ST",
            "city": "FERTILE",
            "state": "MN",
            "postal_code": "565404330",
            "telephone_number": "218-945-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "NOAH",
        "middle_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Lynn Erickson, RPH
• Fertile-Beltrami Public Schools Ind School Dist 599
• Handi-Van Transport, Inc.
• Hanson Chiropractic Clinic PA
• Dennis D Hanson, DC
• Wendy Kircher
• Steven Llewellyn Poissant, PT.,L., AC.,C.S.C.S
• Tammie Radermacher, LPN/HOUSING MANAGER
• Riverview Healthcare Association (RiverView Rehab Services Fertile)
• Riverview Healthcare Association

• Chiropractor in Fertile, MN
• Providers in Fertile, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.