Active NPI
Rollie D Hanks, DC
- Chiropractor
- Northridge, CA
National Provider Identifier
1790770782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC13539
- Practice address
- 18856 Roscoe Blvd
#B
Northridge, CA 91324-6300 - Phone
- (818) 701-1058
- Fax
- (818) 701-9037
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC13539 | CA | Primary |
Addresses
Primary practice location
18856 Roscoe Blvd
#B
Northridge, CA 91324-6300
Mailing address
18856 Roscoe Blvd
#B
Northridge, CA 91324-6300
Phone (818) 701-1058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101014001355 | CA | Practitioner - Chiropractic | 1557554177 | Practice locations: Northridge, CA; Sherman Oaks, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18856 Roscoe Blvd
Suite B
Northridge, CA 91324-6301
Phone (818) 701-1058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC13539 | CA | MD | Chiropractor |
| 13539 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health Specialists, Inc | 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.
-
- Chiropractor
- Northridge, CA
- NPI 1194114579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790770782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18856 ROSCOE BLVD",
"address_2": "#B",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913246300",
"telephone_number": "818-701-1058",
"fax_number": "818-701-9037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18856 ROSCOE BLVD",
"address_2": "#B",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913246300",
"telephone_number": "818-701-1058",
"fax_number": "818-701-9037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKS",
"first_name": "ROLLIE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC13539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.