Individual provider Active NPI

Heidi Hansen, D.C.

  • Chiropractor
  • Charlotte, MI
National Provider Identifier
1992771984
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009156 Issued in MI
Practice address
710 W Lawrence Ave
Charlotte, MI 48813-1326
Phone
(517) 543-6360
Fax
(517) 543-7773
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009156 MI Primary

Addresses

Primary practice location

710 W Lawrence Ave
Charlotte, MI 48813-1326

Mailing address

710 W Lawrence Ave
Charlotte, MI 48813-1326
Phone (517) 543-6360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000019 MI Practitioner - Chiropractic 2062581242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

710 W Lawrence Ave
Charlotte, MI 48813-1326
Phone (517) 543-6360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health Chiropractic Center PLC Chiropractor CurrentSince Oct 14, 2010 Accepting new patients
Robert D Rolle P.C. Chiropractor PastSince Jul 1, 1994 Accepting new patients
Rolle and Dewitt Chiropractic Corporation PastSince Oct 20, 2019 Accepting new patients

Locations

710 W Lawrence Ave
Charlotte, MI 48813
Phone (517) 543-1150

Organizations & group practices 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1992771984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W LAWRENCE AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131326",
            "telephone_number": "517-543-6360",
            "fax_number": "517-543-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W LAWRENCE AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131326",
            "telephone_number": "517-543-6360",
            "fax_number": "517-543-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.