Individual provider Active NPI

Jonathan M Hansel, DC MD

  • Naturopath
  • Gresham, OR
National Provider Identifier
1760407530
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0933 Issued in OR
Practice address
23479 SE Stark St
Gresham, OR 97030-2962
Phone
(503) 667-9300
Fax
(503) 667-4975
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273026 OR
Naturopath 175F00000X 0933 OR Primary

Addresses

Primary practice location

23479 SE Stark St
Gresham, OR 97030-2962

Mailing address

23479 SE Stark St
Gresham, OR 97030-2962
Phone (503) 667-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
273026ORMDChiropractor
0933ORMDNaturopath
3026ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Rinnovare Laser and Wellness Chiropractor Past Accepting new patients

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1760407530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23479 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302962",
            "telephone_number": "503-667-9300",
            "fax_number": "503-667-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23479 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302962",
            "telephone_number": "503-667-9300",
            "fax_number": "503-667-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEL",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "DC MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273026",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.