Individual provider Active NPI

Erik William Hanson, D.C.

  • Chiropractor
  • Ft Mitchell, KY
National Provider Identifier
1639491012
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
274260 Issued in KY
Practice address
2220 Grandview Dr Ste 110
Fort Mitchell, KY 41017-1661
Phone
(859) 320-0245
Fax
(859) 320-1815
NPI assigned
Feb 25, 2010
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 274260 KY Primary
Chiropractor 111N00000X 08002061A IN

Addresses

Primary practice location

2220 Grandview Dr Ste 110
Fort Mitchell, KY 41017-1661

Mailing address

2220 Grandview Dr Ste 110
Fort Mitchell, KY 41017-1661
Phone (859) 320-0245

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

LicenseStateTypeSpecialty
08002061AINMDChiropractor
274260KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ault Investments LLC Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1639491012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 GRANDVIEW DR STE 110",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410171661",
            "telephone_number": "859-320-0245",
            "fax_number": "859-320-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GRANDVIEW DR STE 110",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410171661",
            "telephone_number": "859-320-0245",
            "fax_number": "859-320-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ERIK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "274260",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002061A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Mitchell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.