Organization Active NPI

Sandra J. Hanna Chiropractic Corporation

  • Chiropractor
  • Laguna Niguel, CA
National Provider Identifier
1629138383
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28081 Issued in CA
Legal business name
SANDRA J. HANNA CHIROPRACTIC CORPORATION
Practice address
27791 La Paz Rd
Laguna Niguel, CA 92677-3919
Phone
(949) 389-0400
Fax
(949) 389-0401
NPI assigned
Dec 11, 2006
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Sandra J. Hanna, DCNPI 1972663730
Title
Owner
Phone
(949) 389-0400

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 DC28081 CA Primary

Addresses

Primary practice location

27791 La Paz Rd
Laguna Niguel, CA 92677-3919

Mailing address

27791 La Paz Rd
Laguna Niguel, CA 92677-3919
Phone (949) 389-0400

Other identifiers 3

IdentifierTypeStateIssuer
AC12596OtherCASTATE LICENSE
DC28081OtherCASTATE LICENSE
ZZZ66598ZOtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518001145 CA Part B Supplier - Clinic/Group Practice 6709827082 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Niguel, CA

National Provider Directory

National Provider Directory
Tax ID family
Sandra J Hanna Chiropractic Corporation2 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

27901 La Paz Rd
Ste I
Laguna Niguel, CA 92677
Phone (949) 389-0400

30131 Town Center Dr
Ste 197
Laguna Niguel, CA 92677
Phone (949) 389-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1629138383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27791 LA PAZ RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773919",
            "telephone_number": "949-389-0400",
            "fax_number": "949-389-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27791 LA PAZ RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773919",
            "telephone_number": "949-389-0400",
            "fax_number": "949-389-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA J. HANNA CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-389-0400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AC12596",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC28081",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ66598Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.