NPIMap

Organization Active NPI

Hansen Chiropractic, P.S.

  • Chiropractor
  • Ferndale, WA
National Provider Identifier
1679625974
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HANSEN CHIROPRACTIC, P.S.
Practice address
1943 Main St.
Ferndale, WA 98248
Phone
(360) 384-1396
Fax
(360) 384-1365
NPI assigned
Jan 17, 2007
Organization subpart
Yes
Parent organization
HANSEN CHIROPRACTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Eddie L. Hansen, D.C.
Title
President
Phone
(360) 671-1710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X WA Primary

Addresses

Primary practice location

1943 Main St.
Ferndale, WA 98248

Mailing address

2000 N State St
Bellingham, WA 98225-4218
Phone (360) 671-1710

Other identifiers 1

IdentifierTypeStateIssuer
AB19167OtherWAMEDICARE GROUP PIN

Other names 1

  • Natural Way Chiropractic of Ferndale Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000684 WA Part B Supplier - Clinic/Group Practice 6103728456 Receives reassigned benefits from 19 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ferndale, WA; Vancouver, WA; Oak Harbor, WA; Mount Vernon, WA; Lynden, WA; Everett, WA; Bellingham, WA; Arlington, WA…

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hansen Chiropractic P S9 organizations share this tax ID, including this one
Part of
Hansen Chiropractic P S

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1943 Main St
Unit 101
Ferndale, WA 98248

1943 Main St
Ferndale, WA 98248
Phone (360) 384-1396

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1679625974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254218",
            "telephone_number": "360-671-1710",
            "fax_number": "360-671-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 MAIN ST.",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "98248",
            "telephone_number": "360-384-1396",
            "fax_number": "360-384-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN CHIROPRACTIC, P.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANSEN CHIROPRACTIC",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-671-1710",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "AB19167",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural Way Chiropractic of Ferndale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferndale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.