Douglas J Hanks, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

A05646 Issued in IA

Practice address

433 E Mount Pleasant St
West Burlington, IA 52655-1324

Phone

(319) 753-5441

Fax

(319) 753-5442

NPI assigned

Sep 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hanks Chiropractic ClinicGroup PAC ID 7315928769, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hanks Chiropractic Clinic

  • Sports Physician Chiropractor
  • West Burlington, IA
  • NPI 1912038563
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1912004482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 E MOUNT PLEASANT ST",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551324",
            "telephone_number": "319-753-5441",
            "fax_number": "319-753-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E MOUNT PLEASANT ST",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551324",
            "telephone_number": "319-753-5441",
            "fax_number": "319-753-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "A05646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088989",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09196",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lynn Hadden, M.D.
• Erin Margaret Haeger, M.D.
• Zeina Hajar, MD
• Whitney Amelia Hall
• Hanks Chiropractic Clinic
• Eric A Hanks, DC
• Stephanie Monique Hansen, FNP
• Rhea Anne Hartley, MD
• Stephanie L Hastings, CRNA
• Marcus Haustein, MD

• Sports Physician Chiropractor in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Sports Physician Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.