Active NPI
Philip Wayne Hankins, D.C.
- Chiropractor
- Tillamook, OR
National Provider Identifier
1447366463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 2697
- Practice address
- 1675 Makinster Rd
Tillamook, OR 97141-7753 - Phone
- (503) 842-4242
- Fax
- (503) 842-4242
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 27 2697 | OR | Primary |
Addresses
Primary practice location
1675 Makinster Rd
Tillamook, OR 97141-7753
Mailing address
1675 Makinster Rd
Tillamook, OR 97141-7753
Phone (503) 842-4242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024567 | Other | OR | OMAP ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110105001035 | OR | Practitioner - Chiropractic | 4981893039 | Practice locations: Tillamook, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5900 Creekside Meadows Rd
Tillamook, OR 97141-5010
Phone (503) 842-4242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27 2697 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1447366463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 MAKINSTER RD",
"city": "TILLAMOOK",
"state": "OR",
"postal_code": "971417753",
"telephone_number": "503-842-4242",
"fax_number": "503-842-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 MAKINSTER RD",
"city": "TILLAMOOK",
"state": "OR",
"postal_code": "971417753",
"telephone_number": "503-842-4242",
"fax_number": "503-842-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKINS",
"first_name": "PHILIP",
"middle_name": "WAYNE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27 2697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP ID#",
"identifier": "024567",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tillamook, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.