Organization Active NPI

Diehl Hanlon Chiropractic, LLC

  • Chiropractor
  • Pella, IA
National Provider Identifier
1669443099
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007240 Issued in IA
Legal business name
DIEHL HANLON CHIROPRACTIC, LLC
Practice address
700 Main St
Suite 213
Pella, IA 50219-1682
Phone
(641) 628-8800
Fax
(641) 628-8808
NPI assigned
Feb 1, 2006
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Mark J Hanlon, DCNPI 1073749990
Title
President
Phone
(641) 628-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007240 IA Primary

Addresses

Primary practice location

700 Main St
Suite 213
Pella, IA 50219-1682

Mailing address

700 Main St
Suite 213
Pella, IA 50219-1682
Phone (641) 628-8800

Other identifiers 1

IdentifierTypeStateIssuer
0453969MedicaidIA

National Provider Directory

National Provider Directory

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": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1669443099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "address_2": "SUITE 213",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191682",
            "telephone_number": "641-628-8800",
            "fax_number": "641-628-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "address_2": "SUITE 213",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191682",
            "telephone_number": "641-628-8800",
            "fax_number": "641-628-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEHL HANLON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "HANLON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-628-8800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0453969",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.