Wyatt Hagan

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

944 Issued in SD

Practice address

711 Sioux Point Road
Suite 300
Dakota Dunes, SD 57049-5077

Phone

(605) 232-1711

Fax

(605) 232-2040

NPI assigned

Feb 28, 2006

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 SD

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Chiropractic Associates LLPGroup PAC ID 5496748436, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Heartland Chiropractic Associates LLP

  • Chiropractor
  • Sioux City, IA
  • NPI 1437125788

  SD

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1730155870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SIOUX POINT ROAD",
            "address_2": "SUITE 300",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495077",
            "telephone_number": "605-232-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SIOUX POINT ROAD",
            "address_2": "SUITE 300",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495077",
            "telephone_number": "605-232-1711",
            "fax_number": "605-232-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "WYATT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M Griffin, OT
• Gsshumaker, PLLC
• Preeti Gupta, APRN
• Vanessa Gutierrez
• Dianna Guzman
• Hall Physical Therapy, LLC
• Kristine Marie Hall, PT
• Mark Kevin Hall, PT
• Hanger Prosthetics & Orthotics East Inc
• Justin T Hargrave, NP-C

• Chiropractor in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.