Individual provider Active NPI

Mark Palmer Hagen, D.C.

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1033190293
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
769 Issued in SD
Practice address
3405 S Kiwanis Ave
Sioux Falls, SD 57105-4213
Phone
(605) 361-6824
Fax
(605) 333-0441
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 769 SD Primary

Addresses

Primary practice location

3405 S Kiwanis Ave
Sioux Falls, SD 57105-4213

Mailing address

515 S Cliff Ave
Ste 104
Sioux Falls, SD 57104-5330
Phone (605) 361-6824

Other names 1

  • Dr. Bruce Cleland Hagen Sr. Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080807000270 SD Practitioner - Chiropractic 5092889162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

515 S Cliff Ave
Suite 104
Sioux Falls, SD 57104-5330
Phone (605) 361-6824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Hagen Chiropractic Clinic Prof LLC CurrentSince Mar 1, 2008 Accepting new patients

Locations

3405 S Kiwanis Ave
Sioux Falls, SD 57105
Phone (605) 361-6824

515 S Cliff Ave
Ste 104
Sioux Falls, SD 57104
Phone (605) 361-6824

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033190293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S CLIFF AVE",
            "address_2": "STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045330",
            "telephone_number": "605-361-6824",
            "fax_number": "605-333-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 S KIWANIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054213",
            "telephone_number": "605-361-6824",
            "fax_number": "605-333-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "MARK",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "HAGEN",
            "middle_name": "CLELAND",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.