Ryan Dale Hasenclever, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1705 Issued in AR

Practice address

902B S Walton Blvd Ste 18
Bentonville, AR 72712-5770

Phone

(479) 876-8628

Fax

(479) 876-8643

NPI assigned

Aug 16, 2006

Last updated

Apr 6, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Med PLLCGroup PAC ID 5294226460, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Med PLLC

  • General Practice Physician
  • Bentonville, AR
  • NPI 1295590453
  Medicare reassignment Care Compare group NPD Authorized official
• Better Body Solutions PLLC

  • Chiropractor
  • Bentonville, AR
  • NPI 1346686391
  Medicare reassignment NPD Authorized official
• Dr. Ryan Hasenclever LLC

  • Chiropractor
  • Rogers, AR
  • NPI 1548565351
  NPD (past) Authorized official
• Advance Chiropractic Clinic P.C.

  • Chiropractor
  • Urbandale, IA
  • NPI 1407014822
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1922111897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902B S WALTON BLVD STE 18",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125770",
            "telephone_number": "479-876-8628",
            "fax_number": "479-876-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902B S WALTON BLVD STE 18",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125770",
            "telephone_number": "479-876-8628",
            "fax_number": "479-876-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASENCLEVER",
        "first_name": "RYAN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Harris, PTA
• Stefanie Harris, MHPP
• Rachel E Harrod, LPC
• Jared Eugene Hartman, LCSW
• Kaitlin E Hartman
• Lisa Renee Hatfield-Baran, PHARM D
• Justin Hattenhauer, MHPP
• Jason Hatton, MHPP
• Mary Hawkins, IBCLC
• Harold C Hayden, MHPP

• Chiropractor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.