Individual provider Active NPI

Ross K Hanson, D.C.

  • Chiropractor
  • Stillwater, MN
National Provider Identifier
1487750469
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4310 Issued in MN
Practice address
13481 60TH St N Ste 300
Stillwater, MN 55082-1089
Phone
(651) 430-3229
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4310 MN Primary

Addresses

Primary practice location

13481 60TH St N Ste 300
Stillwater, MN 55082-1089

Mailing address

13481 60TH St N Ste 300
Stillwater, MN 55082-1089
Phone (651) 430-3229

Other practice location 1

1970 Northwestern Ave S
400
Stillwater, MN 55082-6567
Phone (651) 430-3229

Other practice location 2

13481 60th St N Ste 300
Stillwater, MN 55082-1089
Phone (651) 430-3229

Other identifiers 1

IdentifierTypeStateIssuer
54M62HAOtherMNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061026000025 MN Practitioner - Chiropractic 0446257968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13481 60TH St N
Suite 300
Stillwater, MN 55082-1089
Phone (651) 430-3229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeview Chiropractic, P.a. Chiropractor CurrentSince Jan 1, 2003 Accepting new patients

Locations

13481 60th St N
Ste 300
Stillwater, MN 55082
Phone (651) 430-3229

Organizations & group practices 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1487750469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13481 60TH ST N STE 300",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821089",
            "telephone_number": "651-430-3229",
            "fax_number": "651-430-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13481 60TH ST N STE 300",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821089",
            "telephone_number": "651-430-3229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Northwestern Ave S",
            "address_2": "400",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826567",
            "country_code": "US",
            "telephone_number": "651-430-3229",
            "fax_number": "651-430-3265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13481 60th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550821089",
            "country_code": "US",
            "telephone_number": "651-430-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ROSS",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54M62HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.