Organization Active NPI

Hagan Chiropractic, Apc

  • Chiropractor
  • Bullhead City, AZ
National Provider Identifier
1295322808
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAGAN CHIROPRACTIC, APC
Practice address
1738 Hway 95
Bullhead City, AZ 86442-6903
Phone
(928) 299-2260
Fax
(858) 298-3125
NPI assigned
Dec 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Rene Hagan
Title
Officer Manager
Phone
(928) 299-2260

Specialties & licenses 1

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

Addresses

Primary practice location

1738 Hway 95
Bullhead City, AZ 86442-6903

Mailing address

1738 Hway 95
Bullhead City, AZ 86442-6903
Phone (928) 299-2260

Other names 1

  • Hagan Chiropractic, APC Former legal business name

National Provider Directory

National Provider Directory

Locations

1738 Highway 95
Bullhead City, AZ 86442
Phone (858) 354-5022

Practitioners & affiliated clinicians

Practitioners 1

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": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1295322808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 HWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426903",
            "telephone_number": "928-299-2260",
            "fax_number": "858-298-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 HWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426903",
            "telephone_number": "928-299-2260",
            "fax_number": "858-298-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGAN CHIROPRACTIC, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OFFICER MANAGER",
        "authorized_official_telephone_number": "928-299-2260"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hagan Chiropractic, APC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hagan Chiropractic, APC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.