Hagen Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001795 Issued in WA

Legal business name

HAGEN CHIROPRACTIC CENTER INC

Practice address

19713 Scriber Lake Rd
Suite G
Lynnwood, WA 98036-6162

Phone

(425) 672-1822

NPI assigned

Mar 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Daniel Hagen, D.C.NPI 1144204140

Title

Owner

Phone

(425) 672-1822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

Hagen Chiropractic Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hagen Chiropractic Clinic

  • Preferred Provider Organization
  • Lynnwood, WA
  • NPI 1326346909
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn D Hagen, DC

  • Chiropractor
  • Lynnwood, WA
  • NPI 1144204140
  Medicare reassignment NPD Authorized official
• Sarah Marie Hagan, LMP

  • Massage Therapist
  • Lynnwood, WA
  • NPI 1801082995
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1427323104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19713 SCRIBER LAKE RD",
            "address_2": "SUITE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19713 SCRIBER LAKE RD",
            "address_2": "SUITE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366162",
            "telephone_number": "425-672-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGEN CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-672-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aqil Habib, O.D.
• Arsema Habtemariam
• Lisa Jay Hade, RC
• Cloe Hadidi
• Sarah Marie Hagan, LMP
• Hagen Chiropractic Clinic
• Elizabeth Louise Hagen, ARNP
• Shawn D Hagen, DC
• Meseret Hagos, RN
• Zenebech L Hagos, DNP, ARNP, PMHNP-BC

• Chiropractor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.