Individual provider Active NPI

Jason Michael Hanft, D.C.

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1407867740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005035237 Issued in MO
Practice address
908 Rain Forest Pkwy Ste B
Columbia, MO 65202-1657
Phone
(573) 875-4673
NPI assigned
Aug 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2005035237 MO Primary

Addresses

Primary practice location

908 Rain Forest Pkwy Ste B
Columbia, MO 65202-1657

Mailing address

908 Rain Forest Pkwy Ste B
Columbia, MO 65202-1657
Phone (573) 875-4673

Other identifiers 1

IdentifierTypeStateIssuer
208655OtherMOBCBS PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000216 MO Practitioner - Chiropractic 5294745642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

908 Rain Forest Pkwy
Suite B
Columbia, MO 65202-1657
Phone (573) 875-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005035237MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hanft Family Chiropractic, Inc. Chiropractor CurrentSince Dec 1, 2005 Accepting new patients
Johnson Chiropractic & Holistic Health Center, LLC Chiropractor CurrentSince Aug 15, 2015 Accepting new patients

Locations

908 Rain Forest Pkwy
Ste B
Columbia, MO 65202
Phone (573) 447-0841

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407867740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 RAIN FOREST PKWY STE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021657",
            "telephone_number": "573-875-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 RAIN FOREST PKWY STE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021657",
            "telephone_number": "573-875-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANFT",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005035237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "208655",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.