Kevin Michael Hansen, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

04692 Issued in IA

Practice address

3316 Indianola Ave
Des Moines, IA 50315-2961

Phone

(515) 288-1302

Fax

(515) 288-8026

NPI assigned

Jul 7, 2005

Reactivated

Mar 27, 2006

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 IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497752190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 INDIANOLA AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503152961",
            "telephone_number": "515-288-1302",
            "fax_number": "515-288-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 INDIANOLA AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503152961",
            "telephone_number": "515-288-1302",
            "fax_number": "515-288-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "04692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Dawn Hansel, RN
• Wendy M Hansen-Penman, D.O.
• Calvin J Hansen, MD
• Jacob Greggory Hansen
• Kathleen Kelley Hansen, MD
• Timothy Christopher Hansen, RN
• Ellen Hansing, PT
• Brittany Skeens Hanson-Pollock
• Douglas Hanson, MD
• James Gerhard Hanson, PHD, LMHC

• Sports Physician Chiropractor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Sports Physician Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.