Individual provider Active NPI

Sean Hagen, DC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1396563763
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1490 Issued in SD
Practice address
5109 S Crossing PL Ste 1
Sioux Falls, SD 57108-5077
Phone
(605) 553-0688
NPI assigned
Oct 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1490 SD Primary

Addresses

Primary practice location

5109 S Crossing PL Ste 1
Sioux Falls, SD 57108-5077

Mailing address

5109 S Crossing PL Ste 1
Sioux Falls, SD 57108-5077
Phone (605) 553-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205001918 SD Practitioner - Chiropractic 4688100357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Back Specialists LLCGroup PAC ID 9133422256, 2 clinicians

Practice addresses (Care Compare)

5109 S Crossing PL
Suite 1
Sioux Falls, SD 57108-5077
Phone (605) 361-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1490SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back Specialists, LLC Chiropractor CurrentSince Oct 1, 2024 Accepting new patients
Back Specialists of the Midwest LLC Chiropractor CurrentSince Oct 1, 2024 Accepting new patients

Locations

5109 S Crossing Pl
Ste 1
Sioux Falls, SD 57108
Phone (605) 361-1700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1396563763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 S CROSSING PL STE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085077",
            "telephone_number": "605-553-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 S CROSSING PL STE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085077",
            "telephone_number": "605-553-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.