Kirk Richard Hansen, DC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

CH00001176 Issued in WA

Practice address

130 Marvin Rd SE
Suite 100
Lacey, WA 98503-6101

Phone

(360) 357-9477

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710060587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MARVIN RD SE",
            "address_2": "SUITE 100",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-357-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MARVIN RD SE",
            "address_2": "SUITE 100",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036101",
            "telephone_number": "360-357-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KIRK",
        "middle_name": "RICHARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WA",
            "license": "CH00001176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM HEALTH PLAN OF WA",
            "identifier": "1106388",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "49846",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015907",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hampton
• Cherie Renee Hankal, LMP, LMT
• Bobby J Hanks
• Christine Alexis Hansen, LAC, MACOM, NTP
• Julie Hansen
• Susan Marie Hanson
• Kelly Harber
• Kathleen Eileen Harding-Mendez, RDN, RD, CD
• Alicia Hardt, CBT
• Kirsten Lynn Hargett

• Orthopedic Chiropractor in Lacey, WA
• Providers in Lacey, WA by specialty
• Orthopedic Chiropractor in Washington

• 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.
• 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.