Individual provider Active NPI

Elizabeth Hagan

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1780042879
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2016002145 Issued in MO
Practice address
9229 Ward Pkwy Ste 105
Kansas City, MO 64114-3359
Phone
(816) 333-3331
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2016002145 MO Primary

Addresses

Primary practice location

9229 Ward Pkwy Ste 105
Kansas City, MO 64114-3359

Mailing address

9229 Ward Pkwy Ste 105
Kansas City, MO 64114-3359

Other practice location 1

1028 Bourn Ave
Columbia, MO 65203-1455
Phone (573) 424-7288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160624000921 MO Practitioner - Chiropractic 3173814902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9229 Ward Pkwy
Suite 105
Kansas City, MO 64114-3359
Phone (816) 333-3331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016002145MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Hagan Chiropractic LLC Chiropractor CurrentSince Apr 27, 2016 Accepting new patients
Klinginsmith Chiropractic and Acupuncture LLC CurrentSince Jul 12, 2021 Accepting new patients

Locations

9229 Ward Pkwy
Ste 105
Kansas City, MO 64114
Phone (816) 333-3331

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1780042879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 WARD PKWY STE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 WARD PKWY STE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143359",
            "telephone_number": "816-333-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 Bourn Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652031455",
            "country_code": "US",
            "telephone_number": "573-424-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016002145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.