Active NPI
Michael Hagan, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cypress, TX
National Provider Identifier
1255449864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12658
- Practice address
- 21208 Northwest Freeway
110
Cypress, TX 77429 - Phone
- (281) 894-2222
- Fax
- (281) 890-7769
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12658 | TX | Primary |
Addresses
Primary practice location
21208 Northwest Freeway
110
Cypress, TX 77429
Mailing address
21208 Northwest Freeway
110
Cypress, TX 77429
Phone (281) 894-2222
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 |
|---|---|---|---|
| 12658 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1255449864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21208 NORTHWEST FREEWAY",
"address_2": "110",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77429",
"telephone_number": "281-894-2222",
"fax_number": "281-890-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21208 NORTHWEST FREEWAY",
"address_2": "110",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77429",
"telephone_number": "281-894-2222",
"fax_number": "281-890-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "12658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.