Davin L Hagman, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH00002391 Issued in WA

Practice address

24005 Maple Valley Highway SE
Maple Valley, WA 98038-8232

Phone

(425) 432-2273

Fax

(425) 432-2468

NPI assigned

Mar 5, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1134258106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24005 MAPLE VALLEY HIGHWAY SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388232",
            "telephone_number": "425-432-2273",
            "fax_number": "425-432-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24005 MAPLE VALLEY HIGHWAY SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388232",
            "telephone_number": "425-432-2273",
            "fax_number": "425-432-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGMAN",
        "first_name": "DAVIN",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002391",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH00002391",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH00002391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "54553",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "131643",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Lynn Gursley, MS, CCC-SLP
• Theodore James Gutterud
• Paulina K Ha
• Jordan Haffner
• Monika Haffner, M.S., LBA, ABA, BCBA
• Eric A Hagman, DDS
• Samantha Halfen
• Cynthia Marie Hamilton, RN
• Thomas Hammett, DPT
• Mijin Han

• Sports Physician Chiropractor in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Sports Physician Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.