JOHN JEROME FAGEL (NPI# 1639725732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639725732 |
| Entity Type | Individual |
| Full Name | JOHN JEROME FAGEL |
| Credential | DMD |
| Practice Address |
07 Choos Gai Dr Tohatchi NM 87325 |
| Mailing Address |
851 Twilight Dr Crescent Springs KY 41017-4488 |
| Practice Telephone | 5057338100 |
| Mailing Telephone | 8594964647 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10339 | KY | Dental Providers |
| Street Address |
07 CHOOS GAI DR |
| City | TOHATCHI |
| State | NM |
| Zip Code | 87325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040762 | Arina Markina Thomsen | Registered Nurse | 07 Choos Gai Dr, Tohatchi, NM 87325 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336780535 | Marnell Joy Becenti | Technician | N. Hwy 491 Mile Marker 23 .05 Miles West, Tohatchi, NM 87325 | 2019-09-30 |
| 1962916866 | Lenora J Woody | Registered Nurse | 7 Chooshgai Drive, Po Box 142, Tohatchi, NM 87325 | 2017-11-30 |
| 1518117266 | Eva M. Benally | Dental Assistant | 07 Choosgai Dr., Tohatchi, NM 87325 | 2008-09-30 |
| 1184874836 | Carol T. Halona | Dental Assistant | 00 Choosgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1447400197 | Glorianne Natonabah | Dental Assistant | 07 Chooshgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1871787903 | Pamela Smiley | Registered Nurse | 07 Choosghi Drive, Tohatchi, NM 87325 | 2007-08-31 |
| 1891906517 | Robert H Fernando | Counselor | Manulito Street Building T006-013, Behavioral Health Services, Tohatchi, NM 87325 | 2007-05-24 |
| 1316052004 | Carrie Arviso | Pharmacist | 07 Choosgai, Tohatchi Health Clinic, Tohatchi, NM 87325 | 2006-08-20 |
| 1316051857 | William I Schuman | Pharmacist | 07 Choosgai Drive, Tohatchi, NM 87325 | 2006-08-19 |
| 1003881665 | Nilanthi Soori | Family Medicine | 007 Choosgai Drive, Tohatchi, NM 87325 | 2006-02-17 |
| Find all providers in zip 87325 | ||||
| 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 |
|---|---|---|---|---|
| 1033527155 | Emily H Nieto | Dentist | 007 Choosgai Drive, Tohatchi, NM 87325 | 2014-08-01 |
| 1306860234 | James Jenson Sidd Jr. | Dentist | 007 Choosgai Drive, Tohatchi Health Center, Tohatchi, NM 87325-1944 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803830 | Tri Dental, LLC | Dentist | 3715 Las Estancias Ct Sw Ste 101, Albuquerque, NM 87121-5506 | 2020-08-28 |
| 1609485077 | Joseph Potter | Dentist | 3510 Coors Blvd Sw, Albuquerque, NM 87121-5328 | 2020-07-30 |
| 1760090880 | Elizabeth Hays | Dentist | 1405 S Valley Dr Ste 300, Las Cruces, NM 88005-3132 | 2020-07-15 |
| 1861024861 | Brian K Dennis Dds PC | Dentist | 8400 Osuna Rd Ne Ste 6a, Albuquerque, NM 87111-2073 | 2020-02-07 |
| 1285264242 | Professional Dental Care Pllc | Dentist | 550 Saint Michaels Dr Ste 2, Santa Fe, NM 87505-7604 | 2020-01-18 |
| 1134769235 | Abq Dentists PC | Dentist | 3900 Eubank Blvd Ne Ste 14, Albuquerque, NM 87111-3427 | 2020-01-07 |
| 1477197804 | Juan Tabo Dentistry LLC | Dentist | 1924 Juan Tabo Blvd Ne Ste C, Albuquerque, NM 87112-3358 | 2019-10-29 |
| 1013550094 | Bosque Smiles Dentistry, LLC | Dentist | 5600 Coors Blvd Nw Ste G4, Albuquerque, NM 87120-1877 | 2019-10-23 |
| 1336796473 | Salud Dental Group Chaparral | Dentist | 320 Mccombs Rd Ste E, Chaparral, NM 88081-7937 | 2019-08-22 |
| 1134686298 | Brandon James Clayton | Dentist | 2003 Southern Blvd Se # 133-134, Albuquerque, NM 87124-3751 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
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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.