Individual provider Active NPI

Nathan Hansen, DC

  • Chiropractor
  • Woodbridge, VA
National Provider Identifier
1659902534
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557605 Issued in VA
Practice address
14130 Noblewood PLZ Ste 204
Woodbridge, VA 22193-1466
Phone
(703) 878-3434
NPI assigned
Jan 30, 2020
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557605 VA Primary

Addresses

Primary practice location

14130 Noblewood PLZ Ste 204
Woodbridge, VA 22193-1466

Mailing address

14130 Noblewood PLZ Ste 204
Woodbridge, VA 22193-1466
Phone (703) 878-3434

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0104557605VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Han DC PC Chiropractor CurrentSince Feb 2, 2020 Accepting new patients

Locations

14130 Noblewood Plz
Ste 204
Woodbridge, VA 22193
Phone (703) 878-3434

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1659902534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14130 NOBLEWOOD PLZ STE 204",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931466",
            "telephone_number": "703-878-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14130 NOBLEWOOD PLZ STE 204",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931466",
            "telephone_number": "703-878-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.