Louis Edward Hagene, D.C.

Individual provider Active NPI Chiropractor · Cuba, MO

NPI 1760475263 · NPPES record last updated Nov 7, 2018

Key facts

NPI
1760475263
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
006048 (MO)
Practice address
114 S Buchanan St
Cuba, MO 65453-1241
Phone
(573) 885-3353
Fax
(573) 885-3539
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Logan College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 S Buchanan St
Cuba, MO 65453-1339
Phone (573) 885-3353

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080820000302 MO Practitioner - Chiropractic 8022183441 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Chiroserv PC Chiropractor Current
since Feb 1, 1998
Accepting new patients

Locations

114 S Buchanan St
Cuba, MO 65453
Phone (573) 885-3353

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006048 MO Yes

Addresses

Primary practice location

114 S Buchanan St
Cuba, MO 65453-1241

Mailing address

114 S Buchanan St
Cuba, MO 65453-1339
Phone (573) 885-3353

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2018.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1760475263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S BUCHANAN ST",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531339",
            "telephone_number": "573-885-3353",
            "fax_number": "573-885-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S BUCHANAN ST",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531241",
            "telephone_number": "573-885-3353",
            "fax_number": "573-885-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENE",
        "first_name": "LOUIS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba, MO

All providers in Cuba, MO · Chiropractor in Missouri

Sources for this page

Verify at the official NPI Registry.