Individual provider Active NPI

Thomas James Hagan, D.C.

  • Chiropractor
  • Cambridge, MA
National Provider Identifier
1245237569
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2866 Issued in MA
Practice address
1718 Massachusetts Ave
Cambridge, MA 02138-1804
Phone
(617) 492-5438
Fax
(617) 868-4611
NPI assigned
Jul 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
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 2866 MA Primary

Addresses

Primary practice location

1718 Massachusetts Ave
Cambridge, MA 02138-1804

Mailing address

1718 Massachusetts Ave
Cambridge, MA 02138-1804
Phone (617) 492-5438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000996 MA Practitioner - Chiropractic 3577539139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khalsa Chiropractic Office P.C.Group PAC ID 1456416882, 4 clinicians

Practice addresses (Care Compare)

1718 Massachusetts Ave
Cambridge, MA 02138-1804
Phone (617) 492-5438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Khalsa Chiropractic Back Bay, Inc Chiropractor CurrentSince Jan 1, 2019 Accepting new patients
Khalsa Chiropractic Office P.C. Chiropractor CurrentSince Jan 1, 2008 Accepting new patients
Sports Group Physical Therapy PastSince Jan 1, 2008 Accepting new patients

Locations

1718 Massachusetts Ave
Cambridge, MA 02138
Phone (617) 492-5438

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245237569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381804",
            "telephone_number": "617-492-5438",
            "fax_number": "617-868-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381804",
            "telephone_number": "617-492-5438",
            "fax_number": "617-868-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

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.