Andrew Leo Hansen, DC
Individual provider Active NPI Chiropractor · Smithfield, UT
NPI 1962994467 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1962994467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7325686-1202 (UT)
- Practice address
- 1177 S Main St
Smithfield, UT 84335-6764 - Phone
- (435) 563-6887
- Fax
- (435) 535-0769
- NPI assigned
- May 31, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ira J Crawford LLC
Practice addresses (Care Compare)
1177 S Main St
Smithfield, UT 84335-6764
Phone (435) 563-6887
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230328001435 | UT | Practitioner - Chiropractic | 4284980855 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7325686-1202 | UT | MD | Chiropractor |
| 8721 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CXK Ventures LLC | Chiropractor | Current |
Accepting new patients |
| Ira J Crawford LLC | Chiropractor | Current |
Accepting new patients |
Locations
1177 S Main St
Smithfield, UT 84335
Phone (435) 563-2514
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7325686-1202 | UT | Yes |
Addresses
Primary practice location
1177 S Main St
Smithfield, UT 84335-6764
Mailing address
616 W 340 N
Smithfield, UT 84335-9300
Phone (801) 850-7467
Other providers in Smithfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.