Organization Active NPI

Hagen Chiropractic Inc

  • Chiropractor
  • Council Bluffs, IA
National Provider Identifier
1982891339
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAGEN CHIROPRACTIC INC
Practice address
1920 Rue St
Suite 11
Council Bluffs, IA 51503-3600
Phone
(712) 323-6824
Fax
(712) 325-0436
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Daniel D. Hagen, D.C.
Title
Owner/Provider
Phone
(712) 323-6824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1920 Rue St
Suite 11
Council Bluffs, IA 51503-3600

Mailing address

1920 Rue Street
Suite 11
Council Bluffs, IA 51503-3601
Phone (712) 323-6824

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1982891339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 RUE STREET",
            "address_2": "SUITE 11",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033601",
            "telephone_number": "712-323-6824",
            "fax_number": "712-325-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 RUE ST",
            "address_2": "SUITE 11",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033600",
            "telephone_number": "712-323-6824",
            "fax_number": "712-325-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGEN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "712-323-6824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.