Chad Michael Hagen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06839 Issued in IA

Practice address

2395 Tech Dr
Suite 3
Bettendorf, IA 52722-3277

Phone

(563) 449-8153

Fax

(563) 449-8154

NPI assigned

Mar 21, 2007

Last updated

Nov 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hagen Clinic PLLC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1558792861
  Authorized official Same address or phone

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1649395054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 TECH DR",
            "address_2": "SUITE 3",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223277",
            "telephone_number": "563-449-8153",
            "fax_number": "563-449-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 TECH DR",
            "address_2": "SUITE 3",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223277",
            "telephone_number": "563-449-8153",
            "fax_number": "563-449-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah S Haas, ARNP
• Julia Hageman
• Jason Cort Hagemann, D.O.
• Hagen Chiropractic Clinic, P.C.
• Hagen Clinic PLLC
• Michael John Hahn, D.C.
• Duane Anthony Halbur Jr., PHD, NCC, LMHC, LPC
• Victoria Kathleen Hall, LMHC
• Vivien Janis Halloran, ARNP
• Hamai Medical Transport LLC

• Chiropractor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.