Individual provider Active NPI

Shawn D Hagen, DC

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1144204140
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1795 Issued in WA
Practice address
19707 Scriber Lake Rd
Ste 103
Lynnwood, WA 98036-6157
Phone
(425) 672-1822
Fax
(425) 744-0996
NPI assigned
Dec 2, 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 1795 WA Primary

Addresses

Primary practice location

19707 Scriber Lake Rd
Ste 103
Lynnwood, WA 98036-6157

Mailing address

19707 Scriber Lake Rd
Ste 103
Lynnwood, WA 98036-6157
Phone (425) 672-1822

Other identifiers 1

IdentifierTypeStateIssuer
2004950MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000866 WA Practitioner - Chiropractic 3173704806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19707 Scriber Lake Rd
Suite 103
Lynnwood, WA 98036-6157
Phone (425) 672-1822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1795WAMDMental Illness Community Based Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Hagen Chiropractic Clinic Current Accepting new patients
Hagen Chiropractic Center Inc Chiropractor CurrentSince Mar 1, 2012 Accepting new patients

Locations

19713 Scriber Lake Rd
Ste G
Lynnwood, WA 98036
Phone (206) 672-1822

19707 Scriber Lake Rd
Ste 103
Lynnwood, WA 98036
Phone (425) 672-1822

Organizations & group practices 2

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144204140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19707 SCRIBER LAKE RD",
            "address_2": "STE 103",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366157",
            "telephone_number": "425-672-1822",
            "fax_number": "425-744-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19707 SCRIBER LAKE RD",
            "address_2": "STE 103",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366157",
            "telephone_number": "425-672-1822",
            "fax_number": "425-744-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "SHAWN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004950",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

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.