Hagan Chiropractic, Apc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HAGAN CHIROPRACTIC, APC

Practice address

1738 Hway 95
Bullhead City, AZ 86442-6903

Phone

(928) 299-2260

Fax

(858) 298-3125

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Michael C Hagan, DCNPI 1619046166

Title

President

Phone

(858) 354-5022

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Michael Charles Hagan, D.C

  • Chiropractor
  • Bullhead City, AZ
  • NPI 1619046166
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1518009786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 HWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426903",
            "telephone_number": "928-299-2260",
            "fax_number": "858-298-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 HWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426903",
            "telephone_number": "928-299-2260",
            "fax_number": "858-298-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGAN CHIROPRACTIC, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-354-5022",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25448",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25448",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8940",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Greene
• Mariya Griffin
• Temple Gupta, PA-C
• Debra J Gutierrez, CRTT-RCP
• Hagan Chiropractic, Apc
• Michael Charles Hagan, D.C
• Steven Michael Haller, RPH
• Cynthia Lynn Haltom
• Amira M Hamed, DMD
• Mark Anthony Van Hamilton, RN

• Chiropractor in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.