Active NPI
Matthew Eric Haglund, D.C.
- Chiropractor
- Carson City, MI
National Provider Identifier
1609091180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005228
- Practice address
- 10708 E Carson City Road
Carson City, MI 48811 - Phone
- (989) 584-6110
- Fax
- (989) 584-9929
- NPI assigned
- Apr 17, 2007
- Last updated
- Dec 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301005228 | MI | Primary |
| Radiology Chiropractor | 111NR0200X | 27309 | MI |
Addresses
Primary practice location
10708 E Carson City Road
Carson City, MI 48811
Mailing address
10708 East Carson City Road
Carson City, MI 48811
Phone (989) 584-6110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95OE910310 | Other | MI | BCBS OF MICHIGAN |
| 200000005749 | Other | MI | PHYSICIANS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27309 | MI | MD | Radiology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1609091180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10708 EAST CARSON CITY ROAD",
"city": "CARSON CITY",
"state": "MI",
"postal_code": "48811",
"telephone_number": "989-584-6110",
"fax_number": "989-584-9929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10708 E CARSON CITY ROAD",
"city": "CARSON CITY",
"state": "MI",
"postal_code": "48811",
"telephone_number": "989-584-6110",
"fax_number": "989-584-9929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGLUND",
"first_name": "MATTHEW",
"middle_name": "ERIC",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005228",
"primary": true
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "MI",
"license": "27309",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "95OE910310",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "200000005749",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.