Organization Active NPI

Hagensick Chiropractic Clinic, P.C.

  • Chiropractor
  • Waukon, IA
National Provider Identifier
1376732164
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04911 Issued in IA
Legal business name
HAGENSICK CHIROPRACTIC CLINIC, P.C.
Practice address
210 7TH Ave SE
Waukon, IA 52172-2060
Phone
(563) 568-3445
Fax
(563) 568-3426
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Gregory F Hagensick, D.C.
Title
Owner/President
Phone
(563) 568-3445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 04911 IA Primary

Addresses

Primary practice location

210 7TH Ave SE
Waukon, IA 52172-2060

Mailing address

210 7TH Ave SE
Waukon, IA 52172-2060
Phone (563) 568-3445

Other names 1

  • Family Chiropractic Associates Doing business as

National Provider Directory

National Provider Directory

Locations

210 7th Ave SE
Waukon, IA 52172
Phone (319) 568-3445

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1376732164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 7TH AVE SE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521722060",
            "telephone_number": "563-568-3445",
            "fax_number": "563-568-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 7TH AVE SE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521722060",
            "telephone_number": "563-568-3445",
            "fax_number": "563-568-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGENSICK CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "HAGENSICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "563-568-3445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.