Active NPI
Matthew Hanson, L.AC.
- Acupuncturist
- San Antonio, TX
National Provider Identifier
1831538206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01331
- Practice address
- 8301 Broadway St
Suite 422
San Antonio, TX 78209-2006 - Phone
- (210) 701-1509
- NPI assigned
- Jun 19, 2013
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01331 | TX | Primary |
Addresses
Primary practice location
8301 Broadway St
Suite 422
San Antonio, TX 78209-2006
Mailing address
8301 Broadway St
Suite 422
San Antonio, TX 78209-2006
Phone (210) 701-1509
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC01331 | TX | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach Wood Wellness PC | Acupuncturist | Past | Accepting new patients |
| Peachwood Wellness PLLC | Past | Accepting new patients |
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.
-
- Acupuncturist
- San Antonio, TX
- NPI 1538508197
-
- Medical Specialty Clinic/Center
- San Antonio, TX
- NPI 1669858353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1831538206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 BROADWAY ST",
"address_2": "SUITE 422",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782092006",
"telephone_number": "210-701-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 BROADWAY ST",
"address_2": "SUITE 422",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782092006",
"telephone_number": "210-701-1509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-19",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC01331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.