DR. KENNETH GORDON HANSEN (NPI# 1104891084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104891084 |
| Entity Type | Individual |
| Full Name | DR. KENNETH GORDON HANSEN |
| Credential | DC |
| Practice Address |
218 E 800 S Orem UT 84058 |
| Mailing Address |
218 E 800 S Orem UT 84058-5008 |
| Practice Telephone | 8012252457 |
| Practice Fax Number | 8012252537 |
| Mailing Telephone | 8012252457 |
| Mailing Fax Number | 8012252537 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2012-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1640901202 | UT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 350002765 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811123821 | Kenneth Neil Hansen | Chiropractor | 6025 Royal Ln Ste 219-1, Dallas, TX 75230-8827 | 2009-06-04 |
| 1518164045 | Kenneth D. Hansen | Ophthalmology | 6501 Bright Mountain Rd, Mclean, VA 22101-1701 | 2007-06-28 |
| 1487623666 | Kenneth A Hansen | Dentist | 100 Nw 2nd St, Abilene, KS 67410-2649 | 2006-03-17 |
| 1295730992 | Kenneth Richard Hansen | Optometrist | 311 N Ankeny Blvd, Ankeny, IA 50023-1711 | 2005-06-17 |
| 1417445982 | Kenneth Hansen | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2018-04-30 |
| 1316159940 | Kenneth David Hansen | Optometrist | 15936 E Highway 40, Silver Springs, FL 34488-5144 | 2007-05-04 |
| 1518919109 | Kenneth D Hansen | Anesthesiology | 1506 S Oneida St, Appleton, WI 54915-1305 | 2006-05-16 |
| Street Address |
218 E 800 S |
| City | OREM |
| State | UT |
| Zip Code | 84058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357933 | Flat Rate Doctors LLC | Dentist | 218 E 800 S, Orem, UT 84058-5008 | 2019-07-10 |
| 1497204770 | Carl Jefferson Saunders | Chiropractor | 218 E 800 S, Orem, UT 84058-5008 | 2016-09-27 |
| 1245618867 | Ashton Therapies | Physical Therapist | 218 E 800 S, Orem, UT 84058-5008 | 2015-05-14 |
| 1326483553 | Lee Hartman Gunther | Chiropractor | 218 E 800 S, Orem, UT 84058-5008 | 2013-05-01 |
| 1396091039 | Kenneth G Hansen | Durable Medical Equipment & Medical Supplies | 218 E 800 S, Orem, UT 84058-5008 | 2012-07-31 |
| 1255522959 | Christian Kenneth Hansen | Chiropractor | 218 E 800 S, Orem, UT 84058-5008 | 2007-08-07 |
| 1174612378 | Gregory Karl O'bryant | Chiropractor | 218 E 800 S, Orem, UT 84058-5008 | 2006-10-12 |
| 1679536700 | Corporate Chiropractic Inc | Chiropractor | 218 E 800 S, Orem, UT 84058-5008 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998474 | Michael Alan Alsop | Chiropractor | 1910 N 135 W, Orem, UT 84057-2103 | 2020-06-26 |
| 1215559844 | Patrick Sellers | Chiropractor | 203 E 860 S, Orem, UT 84058-5014 | 2020-05-18 |
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1164935664 | Avant-garde LLC | Chiropractor | 293 E 930 S, Orem, UT 84058-5001 | 2017-11-07 |
| 1538607932 | Brain and Spine Pllc | Chiropractor | 246 N Orem Blvd, Orem, UT 84057-6601 | 2017-02-06 |
| 1780120253 | Maya Natural Health Clinic, LLC | Chiropractor | 315 N State St, Orem, UT 84057-4747 | 2017-01-09 |
| 1386004190 | Family Chiropractic: Network Spinal Analysis, Lc | Chiropractor | 115 S 1000 E, Orem, UT 84097-5745 | 2016-03-07 |
| 1962801431 | Sound Corrections Chiropractic, Pllc | Chiropractor | 597 W 800 N, 301, Orem, UT 84057-3762 | 2014-08-20 |
| 1295155943 | David Stuart Miranda | Chiropractor | 251 E 1200 S, Orem, UT 84058-6905 | 2014-04-21 |
| 1104195171 | Lee Hartman Gunther | Chiropractor | 218 East 800 South, Orem, UT 84058-5008 | 2011-12-21 |
| Find all providers in OREM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.