Shan Daniel Hager, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

5489 Issued in CO

Practice address

310 Lashley St
Suite 107
Longmont, CO 80501-6056

Phone

(303) 774-9737

Fax

(303) 774-9738

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1144288457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LASHLEY ST",
            "address_2": "SUITE 107",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016056",
            "telephone_number": "303-774-9737",
            "fax_number": "303-774-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LASHLEY ST",
            "address_2": "SUITE 107",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016056",
            "telephone_number": "303-774-9737",
            "fax_number": "303-774-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "SHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CO",
            "license": "5489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hafezzadeh Vision LLC
• Neka Hafezzadeh, O.D.
• Sarah Haggerty, LPC
• Kathrine Marie Hak, PH.D.
• Kalli Hale, M.S.
• Haleh Nekoorad-Long,M.D.,P.C.
• Stephen Douglas Haley, MD

• Neurology Chiropractor in Longmont, CO
• Providers in Longmont, CO by specialty
• Neurology Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.