Organization Active NPI

Hanson, Inc.

Doing business as Meyersdale Chiropractic

  • Chiropractor
  • Meyersdale, PA
National Provider Identifier
1780809731
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006543L Issued in PA
Legal business name
HANSON, INC.
Doing business as
Meyersdale Chiropractic
Practice address
103 Center St
Meyersdale, PA 15552-1320
Phone
(814) 634-0664
Fax
(814) 634-5506
NPI assigned
Apr 16, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Roger C. Hanson Jr., D.C.NPI 1306873682
Title
Owner
Phone
(814) 634-0664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006543L PA Primary

Addresses

Primary practice location

103 Center St
Meyersdale, PA 15552-1320

Mailing address

103 Center St
Meyersdale, PA 15552-1320
Phone (814) 634-0664

Other identifiers 1

IdentifierTypeStateIssuer
1007688770004MedicaidPA

Other names 1

  • Meyersdale Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050426000536 PA Part B Supplier - Clinic/Group Practice 4880633288 Receives reassigned benefits from 1 practitioner
Practice locations: Meyersdale, PA

National Provider Directory

National Provider Directory

Locations

103 Center St
Meyersdale, PA 15552
Phone (814) 634-0664

308 Main St
Meyersdale, PA 15552
Phone (814) 634-0664

Practitioners & affiliated clinicians

Practitioners 1

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1780809731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CENTER ST",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "155521320",
            "telephone_number": "814-634-0664",
            "fax_number": "814-634-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CENTER ST",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "155521320",
            "telephone_number": "814-634-0664",
            "fax_number": "814-634-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-634-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006543L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007688770004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meyersdale Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meyersdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.