Organization Active NPI

Hannon Chiropractic Inc.

  • Chiropractor
  • Hesperia, CA
National Provider Identifier
1750612289
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HANNON CHIROPRACTIC INC.
Practice address
16808 Main St
Suite B
Hesperia, CA 92345-7922
Phone
(760) 949-0996
Fax
(760) 949-0777
NPI assigned
Jan 22, 2010
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. Clive Hannon, D.C.NPI 1750469995
Title
Ceo
Phone
(760) 949-0996

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 NU Primary

Addresses

Primary practice location

16808 Main St
Suite B
Hesperia, CA 92345-7922

Mailing address

16808 Main St
Suite B
Hesperia, CA 92345-7922
Phone (760) 949-0996

Other identifiers 2

IdentifierTypeStateIssuer
350055743OtherCARAILROAD MEDICARE
1750469995OtherCATYPE 1 NPI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2084948Hannon Chiropractic16808 Main St Ste B, Hesperia, CA 92345Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1750612289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16808 MAIN ST",
            "address_2": "SUITE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923457922",
            "telephone_number": "760-949-0996",
            "fax_number": "760-949-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16808 MAIN ST",
            "address_2": "SUITE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923457922",
            "telephone_number": "760-949-0996",
            "fax_number": "760-949-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNON CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-949-0996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350055743",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1750469995",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.