Jacob M Bagley

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JACOB M BAGLEY

Practice address

508 Front St
Elmer, NJ 08318-2178

Phone

(856) 358-2626

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Jacob M Bagley, DDSNPI 1326134818

Title

Dentist / Owner

Phone

(856) 358-2626

Specialties & licenses 2

Addresses

Other names 1

• Bagley Family Dentistry Doing business as

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob M Bagley, D.D.S.

  • General Practice Dentistry
  • Elmer, NJ
  • NPI 1326134818
  NPD Authorized official
• Barbara Yarmish Yarmish, D.D.S.

  • General Practice Dentistry
  • Elmer, NJ
  • NPI 1386905487
  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1154674232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 FRONT ST",
            "city": "ELMER",
            "state": "NJ",
            "postal_code": "083182178",
            "telephone_number": "856-358-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FRONT ST",
            "city": "ELMER",
            "state": "NJ",
            "postal_code": "083182178",
            "telephone_number": "856-358-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB M BAGLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "856-358-2626",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bagley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haverford Anesthesia Associates-NJ, P.C.
• Emily Heim
• Jennifer Lynn Henderson
• Ingrid P Warmuth M D P a
• Inspira Medical Centers, Inc.
• Lynn Marie Kenny
• Zoya Ahmad Khan
• Samantha Lewis
• Julianne Magin
• Jay V Malickel, D.O.

• All providers in Elmer, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.