Individual provider Active NPI

David J. Hansen, DC

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1790779171
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4056 Issued in CO
Practice address
514 28 1/4 Rd
Suite 1
Grand Junction, CO 81501-4961
Phone
(970) 242-8162
Fax
(970) 245-4308
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 4056 CO Primary
Chiropractor 111N00000X 757CHI-INACTIVE MT

Addresses

Primary practice location

514 28 1/4 Rd
Suite 1
Grand Junction, CO 81501-4961

Mailing address

514 28 1/4 Rd
Suite 1
Grand Junction, CO 81501-4961
Phone (970) 242-8162

Other identifiers 1

IdentifierTypeStateIssuer
1518160365OtherCOGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040207000146 CO Practitioner - Chiropractic 0042103459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brady Chiropratic Group PCGroup PAC ID 2365334356, 2 clinicians

Practice addresses (Care Compare)

514 28
Unit 1
Grand Junction, CO 81501-4961
Phone 9702428162110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4056COMDChiropractor
757CHI-INACTIVEMTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brady Chiropratic Group PC Chiropractor CurrentSince Jan 1, 2003 Accepting new patients
Monument Physiatry, PC Past Accepting new patients

Locations

514 28 Rd
Unit 1
Grand Junction, CO 81501
Phone (970) 242-8162

Organizations & group practices 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1790779171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 28 1/4 RD",
            "address_2": "SUITE 1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014961",
            "telephone_number": "970-242-8162",
            "fax_number": "970-245-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 28 1/4 RD",
            "address_2": "SUITE 1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014961",
            "telephone_number": "970-242-8162",
            "fax_number": "970-245-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4056",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "757CHI-INACTIVE",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1518160365",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.