Active NPI
Loy Adam Hagan, DDS
- Pediatric Dentistry
- Savannah, GA
National Provider Identifier
1063745479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN015083
- Practice address
- 5 Planters Lane
Savannah, GA 31411 - Phone
- (912) 272-7656
- NPI assigned
- Sep 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN015083 | GA | Primary |
Addresses
Primary practice location
5 Planters Lane
Savannah, GA 31411
Mailing address
5 Planters LN
Savannah, GA 31411-2810
Phone (912) 272-7656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015083 | GA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1063745479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PLANTERS LN",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314112810",
"telephone_number": "912-272-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PLANTERS LANE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31411",
"telephone_number": "912-272-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "LOY",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-16",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN015083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.