Nancy Ann Bagel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-021408 Issued in IL

Practice address

632 N 1St Bank Dr
Palatine, IL 60067-8112

Phone

(847) 934-1177

NPI assigned

Feb 8, 2007

Last updated

May 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1114068707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 N 1ST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678112",
            "telephone_number": "847-934-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 N 1ST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678112",
            "telephone_number": "847-934-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGEL",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-021408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Austriaco, D.D.S.
• Corina Avram Chakalian, DACM
• Edward Babigumira, MD
• Jessica Bachman
• Tatiana Baciu, MD
• Argeni Bailon
• Swati Sujit Bakre, LPC
• Diana Ballard
• Kristen Marie Balogh, L.C.S.W
• Fatima Shirley Bangura, B.S, D.C

• General Practice Dentistry in Palatine, IL
• Providers in Palatine, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.