Jacob Daniel Hanson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7655 Issued in AZ

Practice address

2836 E Indian School Rd Ste A8
Phoenix, AZ 85016-6864

Phone

(602) 840-0056

Fax

(602) 840-4056

NPI assigned

Mar 14, 2007

Last updated

Aug 19, 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 AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Ridge Medical GroupGroup PAC ID 5991056350, 7 clinicians

Arcadia Medical Group LLCGroup PAC ID 1850642364, 10 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.

• Arcadia Medical Group LLC

  dba Backfit Health & Spine

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1033600358

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Desert Ridge Medical Group

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1386133080

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Jacob Hanson DC Inc

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1427357581
  Authorized official Same address or phone
• Indian School Medical Group, LLC

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1467925511

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1477687432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 E INDIAN SCHOOL RD",
            "address_2": "#5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166863",
            "telephone_number": "602-840-0056",
            "fax_number": "602-840-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 E INDIAN SCHOOL RD STE A8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166864",
            "telephone_number": "602-840-0056",
            "fax_number": "602-840-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna K Hanson, FNP-BC, CNM
• Christopher Mark Hanson, PT, DPT
• Darin J Hanson, PTA
• David Hanson, PA-C
• Grace Hanson
• Jeffrey Wayne Hanson, MD
• Kelly Hanson
• Kelly A Hanson, RN
• Krista Hanson, PH.D.
• Kristin L Hanson, M.D.

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.