THOMAS N HAGEN (NPI# 1053359257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053359257 |
| Entity Type | Individual |
| Full Name | THOMAS N HAGEN |
| Credential | DDS |
| Practice Address |
9522 Oak Bay Rd Suite 400 Port Ludlow WA 98365-9202 |
| Practice Telephone | 3604379392 |
| Mailing Telephone | 3604379392 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00005934 | WA | Dental Providers |
| Street Address |
9522 OAK BAY RD SUITE 400 |
| City | PORT LUDLOW |
| State | WA |
| Zip Code | 98365-9202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598105538 | Stephen P Porter, Dmd, Ps | Dentist | 9522 Oak Bay Rd, Ste 400, Port Ludlow, WA 98365-9202 | 2013-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710166483 | John Benjamin Martin | Massage Therapist | 91 Village Way, Pt Ludlow, WA 98365 | 2007-10-30 |
| 1316134919 | Gerald T Brady Chiropractic Professional Corp | Chiropractor | 119 Village Way, Port Ludlow, WA 98365 | 2007-09-27 |
| 1386679777 | Lewis County Hospital District No. 1 | Internal Medicine | 521 Adams Avenue, Morton, WA 98365 | 2006-07-12 |
| 1790168680 | Lauren Corbett Mahan | Behavioral Analyst | 480 Montgomery Lane, Port Ludlow, WA 98365-8052 | 2015-07-09 |
| 1760647762 | Peter Ashley Philips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 161 N Bay Ln, #1, Port Ludlow, WA 98365-8224 | 2008-07-20 |
| 1538242540 | Michael David Leu | Naturopath | 2965 Paradise Bay Rd, Port Ludlow, WA 98365-8739 | 2006-10-23 |
| 1700869666 | Tracy Ross Gordy | Psychiatry & Neurology | 52 W Ludlow Point Rd, Port Ludlow, WA 98365-8786 | 2005-11-23 |
| 1356732937 | Mitzi Sturzu | Counselor | 117 Village Way, Port Ludlow, WA 98365-8792 | 2015-02-18 |
| 1548330483 | Gerald Thomas Brady | Chiropractor | 119 Village Way, Port Ludlow, WA 98365-8792 | 2006-11-08 |
| 1326695750 | Sharla Dee Erich | Physical Therapist | 136 Bridgeview Ln, Port Ludlow, WA 98365-9214 | 2019-08-21 |
| Find all providers in zip 98365 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1285233023 | Se Won An | Dentist | 7311 Ne 141st St Ste 2, Kirkland, WA 98034-9703 | 2020-10-22 |
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT LUDLOW |
| Zip Code | 98365 |
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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.