Individual provider Active NPI

Jeanette Truong Hager, D.D.S.

  • General Practice Dentistry
  • Santa Clara, CA
National Provider Identifier
1316299175
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43258 Issued in CA
Practice address
885 Scott Blvd Ste 3
Santa Clara, CA 95050-5255
Phone
(408) 244-3629
Fax
(408) 244-7137
NPI assigned
Oct 3, 2012
Last updated
Jun 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43258 CA Primary

Addresses

Primary practice location

885 Scott Blvd Ste 3
Santa Clara, CA 95050-5255

Mailing address

885 Scott Blvd Ste 3
Santa Clara, CA 95050-5255
Phone (408) 244-3629

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

LicenseStateTypeSpecialty
43258CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1316299175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 SCOTT BLVD STE 3",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505255",
            "telephone_number": "408-244-3629",
            "fax_number": "408-244-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 SCOTT BLVD STE 3",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505255",
            "telephone_number": "408-244-3629",
            "fax_number": "408-244-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "JEANETTE",
        "middle_name": "TRUONG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.