DR. TYLER MARK HAGEN (NPI# 1508127812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508127812 |
| Entity Type | Individual |
| Full Name | DR. TYLER MARK HAGEN |
| Credential | D.C. |
| Practice Address |
3575 45th St S Ste 112 Fargo ND 58104-8964 |
| Practice Telephone | 7016392436 |
| Practice Fax Number | 7016392430 |
| Mailing Telephone | 7016392436 |
| Mailing Fax Number | 7016392430 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 994 | ND | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3605 Westmoor Blvd, Moorhead, MN 565606913 | 7012619468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871081661 | Tyler J Hagen | Specialist/Technologist | 1601 W 44th Pl, Sioux Falls, SD 57105-6376 | 2018-04-26 |
| Street Address |
3575 45TH ST S STE 112 |
| City | FARGO |
| State | ND |
| Zip Code | 58104-8964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374322 | Annie Caitlyn Fitzell | Chiropractor | 3501 30th Ave S Apt 2, Fargo, ND 58103-6243 | 2020-10-23 |
| 1912514662 | Megan Ann Sayler | Chiropractor | 5050 Timber Pkwy S Unit 120, Fargo, ND 58104-4811 | 2020-09-28 |
| 1508329053 | Clarity Brain Center LLC | Chiropractor | 3029 Brandt Dr S Ste A, Fargo, ND 58104-9140 | 2019-04-11 |
| 1366911026 | Myles James Brooks | Chiropractor | 1383 21st Ave N Ste A, Fargo, ND 58102-1841 | 2018-11-24 |
| 1215432125 | One Light Chiropractic Ltd | Chiropractor | 1650 45th St S Ste 204, Fargo, ND 58103-3247 | 2018-03-25 |
| 1538676853 | Whitney Marie Sundheim Robers | Chiropractor | 1555 43rd St S Ste 107, Fargo, ND 58103-3314 | 2018-01-08 |
| 1619482130 | Christopher Pischel | Chiropractor | 3361 45th St S Ste 108, Fargo, ND 58104-8988 | 2017-12-06 |
| 1730601774 | Chase Michael Enget | Chiropractor | 4501 15th Ave S Ste 104, Fargo, ND 58103-8956 | 2017-07-12 |
| 1720529126 | Dakota Clinic of Chiropractic, Pllc | Chiropractor | 5670 38th Avenue S Suite B, Fargo, ND 58104 | 2017-03-17 |
| 1831633106 | Seth Bradley Lunneborg | Chiropractor | 3260 20th St S Ste A, Fargo, ND 58104-5924 | 2016-12-06 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.