Individual provider Active NPI

Mark Leonard Hanson, D.C., L.AC.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1730189903
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4238 Issued in TX
Practice address
11441 N Stemmons Fwy Ste 241
Dallas, TX 75229-2251
Phone
(972) 243-0022
Fax
(972) 243-0550
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4238 TX Primary
Acupuncturist 171100000X AC00179 TX

Addresses

Primary practice location

11441 N Stemmons Fwy Ste 241
Dallas, TX 75229-2251

Mailing address

PO Box 542874
Dallas, TX 75354-2874
Phone (972) 243-0022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070209000103 TX Practitioner - Chiropractic 9931101649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11441 N Stemmons Fwy 241
East West Acupincture and Chiropractic
Dallas, TX 75229-2251
Phone (972) 243-0022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4238TXMDChiropractor
AC00179TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
M Hanson Inc Chiropractor CurrentSince Mar 6, 2011 Accepting new patients

Locations

11441 N Stemmons Fwy
Ste 241
Dallas, TX 75229
Phone (972) 243-0022

11441 N Stemmons Fwy
#241E
Dallas, TX 75229
Phone (972) 243-0022

5400 E Mockingbird Ln
Ste 214
Dallas, TX 75206
Phone (214) 821-9999

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1730189903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542874",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753542874",
            "telephone_number": "972-243-0022",
            "fax_number": "972-243-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11441 N STEMMONS FWY STE 241",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292251",
            "telephone_number": "972-243-0022",
            "fax_number": "972-243-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MARK",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4238",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.