Organization Active NPI

Hansen Chiropractic PC

  • Chiropractor
  • Wyomissing, PA
National Provider Identifier
1487914230
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009139 Issued in PA
Legal business name
HANSEN CHIROPRACTIC PC
Practice address
833 N Park Rd
Suite 107
Wyomissing, PA 19610-1341
Phone
(610) 750-5441
Fax
(610) 750-5482
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Dr. Elizabeth M Hansen, DCNPI 1720029242
Title
Pres
Phone
(610) 750-5441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC009139 PA Primary

Addresses

Primary practice location

833 N Park Rd
Suite 107
Wyomissing, PA 19610-1341

Mailing address

833 N Park Rd
Suite 107
Wyomissing, PA 19610-1341
Phone (610) 750-5441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120606000437 PA Part B Supplier - Clinic/Group Practice 3173787942 Receives reassigned benefits from 1 practitioner
Practice locations: Reading, PA

National Provider Directory

National Provider Directory
Tax ID family
Hansen Chiropractic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

215 N Kenhorst Blvd
Reading, PA 19607
Phone (610) 750-5441

833 N Park Rd
Ste 107
Wyomissing, PA 19610
Phone (610) 750-5441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1487914230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N PARK RD",
            "address_2": "SUITE 107",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101341",
            "telephone_number": "610-750-5441",
            "fax_number": "610-750-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N PARK RD",
            "address_2": "SUITE 107",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101341",
            "telephone_number": "610-750-5441",
            "fax_number": "610-750-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "610-750-5441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.