Organization Active NPI

Hanba Chiropractic PLLC

Doing business as Revolution Chiropractic

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1619411170
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4558 Issued in NC
Legal business name
HANBA CHIROPRACTIC PLLC
Doing business as
Revolution Chiropractic
Practice address
2315 Lynn Rd
Ste 103
Raleigh, NC 27612-6743
Phone
(919) 900-8952
NPI assigned
Dec 16, 2016
Last updated
Dec 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Jason Hanba, DC
Title
Owner
Phone
(919) 900-8952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4558 NC Primary

Addresses

Primary practice location

2315 Lynn Rd
Ste 103
Raleigh, NC 27612-6743

Mailing address

2315 Lynn Rd
Ste 103
Raleigh, NC 27612-6743
Phone (919) 900-8952

Other names 1

  • Revolution Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2315 Lynn Rd
Ste 103
Raleigh, NC 27612
Phone (423) 748-5095

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1619411170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 LYNN RD",
            "address_2": "STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126743",
            "telephone_number": "919-900-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 LYNN RD",
            "address_2": "STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126743",
            "telephone_number": "919-900-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANBA CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "HANBA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-900-8952",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revolution Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.