Organization Active NPI

Hassel Family Chiropractic DCPC

  • Chiropractor
  • Clive, IA
National Provider Identifier
1609934645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06023 Issued in IA
Legal business name
HASSEL FAMILY CHIROPRACTIC DCPC
Practice address
1349 NW 121St St Ste 100
Clive, IA 50325-8143
Phone
(515) 270-2111
Fax
(515) 270-0323
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent E Hassel, DCNPI 1154396638
Title
Doctor of Chiropractic
Phone
(515) 270-2111

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 A06023 IA Primary

Addresses

Primary practice location

1349 NW 121St St Ste 100
Clive, IA 50325-8143

Mailing address

1349 NW 121St St Ste 100
Clive, IA 50325-8143
Phone (515) 270-2111

Other identifiers 2

IdentifierTypeStateIssuer
0151290MedicaidIA
1154396638OtherIAINDIVIDUAL DR. NPI#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070126000156 IA Part B Supplier - Clinic/Group Practice 9931100443 Receives reassigned benefits from 1 practitioner
Practice locations: Clive, IA

National Provider Directory

National Provider Directory

Locations

1349 NW 121st St
Ste 100
Clive, IA 50325
Phone (515) 270-2111

Practitioners & affiliated clinicians

Practitioners 5

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609934645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 NW 121ST ST STE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258143",
            "telephone_number": "515-270-2111",
            "fax_number": "515-270-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 NW 121ST ST STE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258143",
            "telephone_number": "515-270-2111",
            "fax_number": "515-270-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASSEL FAMILY CHIROPRACTIC DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASSEL",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "515-270-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151290",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL DR. NPI#",
            "identifier": "1154396638",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.