Keven Hagen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012925 Issued in NY

Practice address

10 Assembly Dr Ste 105
Mendon, NY 14506-9604

Phone

(585) 497-7078

NPI assigned

Jan 29, 2017

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John S Weyand DC PCGroup PAC ID 0143249102, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• John S Weyand DC PC

  • Chiropractor
  • Hornell, NY
  • NPI 1457366106
  Medicare reassignment Care Compare group NPD
• Healthsource of Hornell Progressive Chiropractic Rehabilitation, P.C.

  • Chiropractor
  • Hornell, NY
  • NPI 1700157013
  Medicare reassignment NPD
• Rochester Sports Chiropractic, PLLC

  • Chiropractor
  • Mendon, NY
  • NPI 1801447933
  NPD Authorized official
• Cosgrove Smith Chiropractic

  • Rural Health Clinic/Center
  • Hornell, NY
  • NPI 1093910622
  NPD (past)

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316484348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ASSEMBLY DR STE 105",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145069604",
            "telephone_number": "585-497-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ASSEMBLY DR STE 105",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145069604",
            "telephone_number": "585-497-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "KEVEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-29",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsy Boldt, DPT
• Rachelle Buchanan
• Lacey Rae Fox-Smith, PNP
• Rebecca D Gargan, M.D.
• Gupta Family Dentistry PLLC
• JT Tompkins Pharmacist LLC
• Virginia Fusaro Kaufer, D.M.D.
• Ann K Kunkel, DDS
• Samantha Lacognata
• Jennifer Lesic, M.D.

• All providers in Mendon, NY
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.