Active NPI
Hagen Chiropractic Inc
- Chiropractor
- Council Bluffs, IA
National Provider Identifier
1982891339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryNPI 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.