Jordan Paul Hagar, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007678 Issued in IA

Practice address

1523 2ND Ave N
Fort Dodge, IA 50501-4164

Phone

(515) 227-7491

Fax

(888) 834-8986

NPI assigned

Jul 2, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Active Health Clinics

  • General Practice Physician
  • Fort Dodge, IA
  • NPI 1215582333
  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1508206764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014164",
            "telephone_number": "515-227-7491",
            "fax_number": "888-834-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014164",
            "telephone_number": "515-227-7491",
            "fax_number": "888-834-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAR",
        "first_name": "JORDAN",
        "middle_name": "PAUL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Gunderson
• Kelcie Gunderson, DNP, ARNP, FNP-C
• Kelly Marie Gunderson, PHARMD
• Gypsum Creek Healthcare, Inc.
• Jana Maria Hacker, FNP-C
• Eric K Hage, CRNA
• Aubrey R Hagen, CRNA
• Stacy Hale, CADC
• Hamilton County Public Hospital
• Dana Hamilton

• All providers in Fort Dodge, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.