Hagen Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04632 Issued in IA

Legal business name

HAGEN CHIROPRACTIC CLINIC, P.C.

Practice address

2395 Tech Dr Ste 3
Bettendorf, IA 52722-3277

Phone

(563) 449-8153

Fax

(563) 449-8154

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Janeen K Taylor

Title

Billing

Phone

(563) 449-8153

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699854802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 TECH DR STE 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 STE 3",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223277",
            "telephone_number": "563-449-8153",
            "fax_number": "563-449-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGEN CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JANEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "563-449-8153",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04632",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05427",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05805",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06839",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE",
            "identifier": "03058",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meeshali Gupta, PHARMD
• Becky J Guthrie, FNP
• Deborah S Haas, ARNP
• Julia Hageman
• Jason Cort Hagemann, D.O.
• Hagen Clinic PLLC
• Chad Michael Hagen, D.C.
• Michael John Hahn, D.C.
• Duane Anthony Halbur Jr., PHD, NCC, LMHC, LPC
• Victoria Kathleen Hall, LMHC

• 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 Aug 22, 2020; 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.