Westend Spine and Rehab, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WESTEND SPINE AND REHAB, PLLC

Practice address

3575 45TH St S
Suite 112
Fargo, ND 58104-8963

Phone

(701) 639-2436

Fax

(701) 639-2430

NPI assigned

Feb 17, 2015

Organization subpart

No

Name

Dr. Tyler Mark Hagen, D.C.

Title

Chiropractor/Clinic Director

Phone

(701) 261-9468

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2015.

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1285025908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 45TH ST S",
            "address_2": "SUITE 112",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048963",
            "telephone_number": "701-639-2436",
            "fax_number": "701-639-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 45TH ST S",
            "address_2": "SUITE 112",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048963",
            "telephone_number": "701-639-2436",
            "fax_number": "701-639-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTEND SPINE AND REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIROPRACTOR/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "701-261-9468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medora Caroline West-Roehl, D.M.D.
• Danielle Jean West, RN
• Jenny West
• Ryan M West, DDS
• Erin Westby, PHARM.D.
• Heidi J Western, D.C.
• Bailey Justine Weston Werk, M.S, CF-SLP
• Penni Marie Weston
• Sharon Westphal, OTR/L
• Jeanette Lea Wetch, LSW

• All providers in Fargo, ND
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.