Active NPI
Heidi Lyn Hanson, D.C.
- Chiropractor
- Fargo, ND
National Provider Identifier
1639277817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 668
- Practice address
- 3003 32ND Ave S Ste 4
Fargo, ND 58103-6163 - Phone
- (701) 234-0733
- Fax
- (701) 234-0733
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 668 | ND | Primary |
Addresses
Primary practice location
3003 32ND Ave S Ste 4
Fargo, ND 58103-6163
Mailing address
3003 32ND Ave S Ste 4
Fargo, ND 58103-6163
Phone (701) 234-0733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 668 | ND | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639277817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 32ND AVE S STE 4",
"city": "FARGO",
"state": "ND",
"postal_code": "581036163",
"telephone_number": "701-234-0733",
"fax_number": "701-234-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 32ND AVE S STE 4",
"city": "FARGO",
"state": "ND",
"postal_code": "581036163",
"telephone_number": "701-234-0733",
"fax_number": "701-234-0733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "HEIDI",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.