DR. KEVIN MICHAEL HANSEN (NPI# 1497752190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497752190 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL HANSEN |
| Credential | D.C. |
| Practice Address |
3316 Indianola Ave Des Moines IA 50315-2961 |
| Practice Telephone | 5152881302 |
| Practice Fax Number | 5152888026 |
| Mailing Telephone | 5152881302 |
| Mailing Fax Number | 5152888026 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
04692 | IA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659502706 | Kevin Jay Hansen Jr. | Case Manager/Care Coordinator | 601 West George St, Carmichaels, PA 15320-1325 | 2009-08-06 |
| 1467669614 | Kevin Reed Hansen | Dentist | 4011 W Mcdowell Road, Phoenix, AZ 85009-2112 | 2007-05-17 |
| 1619085529 | Kevin J Hansen | Physical Therapist | 14850 Lake Hills Blvd, Bellevue, WA 98007-5800 | 2006-08-29 |
| 1194340430 | Kevin Hansen | Specialist/Technologist | 1378 Union University Dr, Jackson, TN 38305-3780 | 2020-06-12 |
| 1184245326 | Kevin Michael Hansen | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-04-28 |
| 1376047324 | Kevin Richard Hansen | Student in an Organized Health Care Education/Training Program | 3471 5th Ave, Kaufmann Bldg Suite 910, Pittsburgh, PA 15213-3215 | 2018-03-22 |
| 1184133696 | Kevin Hansen | Counselor | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2017-09-27 |
| 1316211683 | Kevin Taylor Hansen | Social Worker | 1225 E Fort Union Blvd, Suite 215, Cottonwood Heights, UT 84047-1889 | 2012-03-02 |
| 1912220997 | Kevin Ray Hansen | Nurse Anesthetist, Certified Registered | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2010-03-05 |
| 1205949740 | Kevin J Hansen | Dentist | 47 Plaza St W, Brooklyn, NY 11217-3905 | 2006-08-17 |
| Street Address |
3316 INDIANOLA AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50315-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326580606 | Stacie Brown | Specialist/Technologist | 1201 Herold Ave, Des Moines, IA 50315 | 2016-11-17 |
| 1245581560 | Stroke Detections Plus, Inc. | Early Intervention Provider Agency | 2407 Sw 9th Street, Des Moines, IA 50315 | 2012-09-26 |
| 1922371533 | Ronald D. Sanford | Durable Medical Equipment & Medical Supplies | 1920-s.w. Frazier, Des Moines, IA 50315 | 2012-02-13 |
| 1811155203 | Katherine M Schultz | Occupational Therapy Assistant | 4911 Sw 19th, Des Moines, IA 50315 | 2008-06-02 |
| 1255599635 | Lisa Kaye Malsom | Physical Therapist | 4911 Sw 19th Street, Des Moines, IA 50315 | 2008-06-02 |
| 1346445350 | Herbert Lawrence Notch | Psychologist | 7510 Sw 9th, Des Moines, IA 50315 | 2007-06-19 |
| 1881749893 | Emergency Dental Care Usa | Dentist | 4409 Sw 9th St, Des Moines, IA 50315 | 2007-01-23 |
| 1114947132 | Richard Alan Lyman | Dentist | 6100 Sw 9th St, Des Moines, IA 50315 | 2006-07-20 |
| 1487603684 | Eye Care of Iowa PC | Optometrist | 200 Army Post Rd, Des Moines, IA 50315 | 2006-05-08 |
| 1437115920 | Hearing Aid Centers Inc. | Hearing Aid Equipment | 1219 Sw Army Post Rd, Des Moines, IA 50315 | 2006-04-24 |
| Find all providers in zip 50315 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685569 | Percuoco Chiropractic and Rehabilitation, Pllc | Chiropractor | 3200 Ingersoll Ave Ste E, Des Moines, IA 50312-3917 | 2020-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497131007 | Engineered Per4mance, Inc. | Chiropractor | 1711 Sw Plaza Pkwy, Ankeny, IA 50023 | 2015-08-05 |
| 1982089025 | Gerard Chiropractic | Chiropractor | 112 West Davenport St Unit 1, Eldridge, IA 52748 | 2015-07-29 |
| 1942621453 | Oleson Chiropractic, Inc | Chiropractor | 514 1st Ave, Armstrong, IA 50514-7700 | 2013-12-31 |
| 1508100579 | Forest City Chiropractic & Sports Clinic,p.c. | Chiropractor | 245 N Clark St, Forest City, IA 50436-1511 | 2012-11-15 |
| 1194973859 | King Chiropractic LLC | Chiropractor | 1749 E 54th St, Davenport, IA 52807-2769 | 2008-09-05 |
| 1861614596 | Terri Lyn Cooper | Chiropractor | 1500 Center St Ne, Cedar Rapids, IA 52402-5500 | 2007-05-03 |
| 1396861266 | Todd M Goodwin | Chiropractor | 30 W. 2nd Str., Kingsley, IA 51028 | 2007-03-22 |
| 1518010768 | Susan R. Duncan | Chiropractor | 301 E Mayne St, Blue Grass, IA 52726-9794 | 2007-01-19 |
| 1578622759 | Murphy Chiropractic PC | Chiropractor | 224 S. Main St., Odebolt, IA 51458 | 2006-12-06 |
| 1265515076 | Steven Robert Tenold | Chiropractor | 406 River Ave. N., Belmond, IA 50421 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50315 |
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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.