DR. MELANIE LYNN HAGEMAN (NPI# 1659622173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659622173 |
| Entity Type | Individual |
| Full Name | DR. MELANIE LYNN HAGEMAN |
| Credential | DDS |
| Practice Address |
3142 49th St S Fargo ND 58104-4450 |
| Mailing Address |
517 18th Ave E West Fargo ND 58078-4224 |
| Practice Telephone | 7012936999 |
| Practice Fax Number | 7012936999 |
| Mailing Telephone | 7012388521 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2243 | ND | Dental Providers |
| Street Address |
3142 49TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-4450 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992891428 | Chad Hoge | Dentist | 4265 45th St S, Suite 202, Fargo, ND 58104-4309 | 2006-10-04 |
| 1619084084 | Pediatric Dentistry Ltd | Dentist | 1205 16th Ave South, Fargo, ND 58103 | 2006-08-23 |
| 1992977680 | William A Hunter | Dentist | 1205 16th Ave South, Fargo, ND 58103 | 2008-04-02 |
| 1033398458 | Carl A Trout | Dentist | 2538 University Dr S, Suite A, Fargo, ND 58103-5714 | 2007-11-01 |
| 1265595995 | Brent L Holman Dds PC | Dentist | 2538 University Dr S, Suite A, Fargo, ND 58103-5737 | 2006-12-17 |
| 1528121258 | Brent L Holman | Dentist | 2538 University Dr S, Suite A, Fargo, ND 58103-5737 | 2006-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023271020 | Lawrence E Steininger | Dentist | 1929 N Washington St Ste Op, Bismarck, ND 58501-1616 | 2008-07-09 |
| 1821152869 | Donald Michael Goebel | Dentist | 407 E Avenue C, Bismarck, ND 58501-3942 | 2006-12-21 |
| 1649215732 | Lance Robert Behm | Dentist | 2615 Elk Dr Ste 1, Minot, ND 58701 | 2006-06-20 |
| 1053979013 | A To Z Pediatric Dentistry, PC | Dentist | 1929 N Washington St Ste Op, Bismarck, ND 58501-1616 | 2019-06-04 |
| 1235695958 | Big Bear Dentistry | Dentist | 2615 Elk Dr Ste 1, Minot, ND 58701-1200 | 2019-02-18 |
| 1184197931 | Doughboy Pediatric Dental Group | Dentist | 2615 Elk Dr Ste 1, Minot, ND 58701-1200 | 2019-01-04 |
| 1164910006 | Lisa Diane Kulig | Dentist | 2615 Elk Dr Ste 1, Minot, ND 58701-1200 | 2018-04-26 |
| 1295021988 | Drew Goebel | Dentist | 407 E Avenue C, Bismarck, ND 58501-3942 | 2011-06-22 |
| 1215107248 | D. Michael Goebel D.d.s., PC | Dentist | 407 E Avenue C, Bismarck, ND 58501-3942 | 2008-03-05 |
| 1851582100 | Dakota Kids Dentistry | Dentist | 2615 Elk Dr Ste 1, Minot, ND 58701-1200 | 2007-08-01 |
| 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.