Active NPI
Hagensick Chiropractic Clinic, P.C.
- Chiropractor
- Waukon, IA
National Provider Identifier
1376732164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04911
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.