Timothy Luke Hagler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5634 Issued in AL

Practice address

27290 Hwy 86
Gordo, AL 35466

Phone

(205) 364-7777

NPI assigned

Jul 14, 2008

Last updated

Jun 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1194989749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1135",
            "city": "GORDO",
            "state": "AL",
            "postal_code": "35466",
            "telephone_number": "205-364-7777",
            "fax_number": "205-364-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27290 HWY 86",
            "city": "GORDO",
            "state": "AL",
            "postal_code": "35466",
            "telephone_number": "205-364-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 McFarland Cir N",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354061800",
            "country_code": "US",
            "telephone_number": "205-758-4721",
            "fax_number": "205-758-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGLER",
        "first_name": "TIMOTHY",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5234",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alabama CVS Pharmacy, L.L.C. (CVS Pharmacy #04969)
• Mark Dennis Babb
• Robert G Carden
• Encore Rehabilitation, Inc. (Encore Rehab of Gordo)
• Mentral Ledbetter, LPC
• Katelin Meredith Lisenby, PHARM.D.
• Amy C Long
• Alicia McGee
• Medrental Inc

• General Practice Dentistry in Gordo, AL
• Providers in Gordo, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.