Active NPI
Stephen Chester Hanna, CHIROPRACTOR DC
- Chiropractor
- Venice, FL
National Provider Identifier
1841379153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0005880
- Practice address
- 617 S Tamiami Trail
Venice Chiropractic Clinic
Venice, FL 34285-3237 - Phone
- (941) 488-6308
- Fax
- (941) 480-1828
- NPI assigned
- Nov 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0005880 | FL | Primary |
| Chiropractor | 111N00000X | 08001215 | IN |
Addresses
Primary practice location
617 S Tamiami Trail
Venice Chiropractic Clinic
Venice, FL 34285-3237
Mailing address
617 S Tamiami Trail
Dba Venice Chiropractic Clinic
Venice, FL 34285-3237
Phone (941) 488-6308
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0005880 | FL | MD | Chiropractor |
| 08001215 | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841379153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 S TAMIAMI TRAIL",
"address_2": "DBA VENICE CHIROPRACTIC CLINIC",
"city": "VENICE",
"state": "FL",
"postal_code": "342853237",
"telephone_number": "941-488-6308",
"fax_number": "941-480-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 S TAMIAMI TRAIL",
"address_2": "VENICE CHIROPRACTIC CLINIC",
"city": "VENICE",
"state": "FL",
"postal_code": "342853237",
"telephone_number": "941-488-6308",
"fax_number": "941-480-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "STEPHEN",
"middle_name": "CHESTER",
"name_prefix": "Dr.",
"credential": "CHIROPRACTOR DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0005880",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001215",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.