Individual provider Active NPI

Chris R Haganman, DDS MS

  • General Practice Dentistry
  • Cedar Rapids, IA
National Provider Identifier
1003943143
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7446 Issued in IA
Practice address
815 38TH St SE
Cedar Rapids, IA 52403-4300
Phone
(319) 365-0534
Fax
(319) 297-7417
NPI assigned
Feb 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7446 IA Primary
Prosthodontics 1223P0700X 7446 IA

Addresses

Primary practice location

815 38TH St SE
Cedar Rapids, IA 52403-4300

Mailing address

815 38TH St SE
Cedar Rapids, IA 52403-4300
Phone (319) 365-0534

Other identifiers 1

IdentifierTypeStateIssuer
0280362MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405002148 IA Order and Referring Only - DentistPractitioner - Dentist 7810295912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7446IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Cedar Rapids Dental Center General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003943143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 38TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524034300",
            "telephone_number": "319-365-0534",
            "fax_number": "319-297-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 38TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524034300",
            "telephone_number": "319-365-0534",
            "fax_number": "319-297-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGANMAN",
        "first_name": "CHRIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7446",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IA",
            "license": "7446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280362",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.