NPIMap

Organization Active NPI

Hagen Chiropractic Group, Inc., P.C.

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1164695342
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001054 Issued in WA
Legal business name
HAGEN CHIROPRACTIC GROUP, INC., P.C.
Practice address
8221 NE Hazel Dell Ave Ste 104
Vancouver, WA 98665-8153
Phone
(360) 573-0729
Fax
(360) 573-0797
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. John M. Hagen, D.C.
Title
President
Phone
(360) 573-0729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00001054 WA Primary

Addresses

Primary practice location

8221 NE Hazel Dell Ave Ste 104
Vancouver, WA 98665-8153

Mailing address

8221 NE Hazel Dell Ave Ste 104
Vancouver, WA 98665-8153
Phone (360) 573-0729

National Provider Directory

National Provider Directory

Locations

8221 NE Hazel Dell Ave
Ste 104
Vancouver, WA 98665
Phone (360) 334-6373

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1164695342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 NE HAZEL DELL AVE STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658153",
            "telephone_number": "360-573-0729",
            "fax_number": "360-573-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 NE HAZEL DELL AVE STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658153",
            "telephone_number": "360-573-0729",
            "fax_number": "360-573-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGEN CHIROPRACTIC GROUP, INC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-573-0729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.