Douglas R. Hasegawa, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019016753 Issued in IL

Practice address

3347 Dempster St
Skokie, IL 60076-2411

Phone

(847) 674-0577

Fax

(847) 674-0590

NPI assigned

Jun 5, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1255590030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 DEMPSTER ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762411",
            "telephone_number": "847-674-0577",
            "fax_number": "847-674-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 DEMPSTER ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762411",
            "telephone_number": "847-674-0577",
            "fax_number": "847-674-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEGAWA",
        "first_name": "DOUGLAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019016753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Hart, LCSW
• Meghan Hart, PA-C
• Virginia Mary Hartzer, L.C.P.C.
• Lisa Marie Hartzler, MS
• Harvey L. Echols, MD, PC
• May Hassib, M.D
• Hatzalah Chicago
• Sherry Haupt, DPT
• Hauser Family Therapy, LLC
• Catherine Hauser, PH.D.

• General Practice Dentistry in Skokie, IL
• Providers in Skokie, 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 Jun 5, 2008; 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.