Individual provider Active NPI

Andrew Leo Hansen, DC

  • Chiropractor
  • Smithfield, UT
National Provider Identifier
1962994467
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7325686-1202 Issued in UT
Practice address
1177 S Main St
Smithfield, UT 84335-6764
Phone
(435) 563-6887
Fax
(435) 535-0769
NPI assigned
May 31, 2018
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7325686-1202 UT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230328001435 UT Practitioner - Chiropractic 4284980855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 3476792334, 3 clinicians

Practice addresses (Care Compare)

1177 S Main St
Smithfield, UT 84335-6764
Phone (435) 563-6887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CXK Ventures LLC Chiropractor CurrentSince Aug 29, 2025 Accepting new patients
Ira J Crawford LLC Chiropractor CurrentSince Mar 15, 2023 Accepting new patients

Locations

1177 S Main St
Smithfield, UT 84335
Phone (435) 563-2514

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1962994467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W 340 N",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843359300",
            "telephone_number": "801-850-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 S MAIN ST",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843356764",
            "telephone_number": "435-563-6887",
            "fax_number": "435-535-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ANDREW",
        "middle_name": "LEO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7325686-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.