Hage Foundation Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

HAGE FOUNDATION INC

Practice address

217 E Cherry Ave
Jonesboro, AR 72401-3372

Phone

(870) 897-9465

NPI assigned

Dec 30, 2020

Organization subpart

No

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

Authorized official

Name

Clemmisa Harris, DMD

Title

Owner

Phone

(870) 897-9465

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Misee Harris Kemp, D.M.D.

  • Pediatric Dentistry
  • Jonesboro, AR
  • NPI 1801181672
  NPD (past)

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1225625791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HILLSIDE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015006",
            "telephone_number": "870-897-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E CHERRY AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013372",
            "telephone_number": "870-897-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGE FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CLEMMISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-897-9465",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@cdcjonesboro.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "address_1": "217 E Cherry Ave",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724013372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hadley Pediatric Physical Therapy, P.L.L.C.
• Alicia Hadley, DPT
• Eric Hadley, PHARMD
• Aaron Scott Hafner
• Casie Michelle Hagans, LCSW
• Susan Hageman-Reeves, MD
• Lydia Hagerty, MS, OTR/L
• Cary Haggard
• Seth Haggard
• Jasmine Haggins

• Pediatric Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.