Robert Gray Hagy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

20456 Issued in OH

Practice address

257 E Jefferson St
New Lexington, OH 43764-1060

Phone

(740) 342-4156

Fax

(740) 342-4156

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in OH

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perry County Dental Group, Inc

  • General Practice Dentistry
  • New Lexington, OH
  • NPI 1790958635
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1346350113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 TOWNSHIP ROAD 127 NE",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649717",
            "telephone_number": "740-342-2593",
            "fax_number": "740-342-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 E JEFFERSON ST",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641060",
            "telephone_number": "740-342-4156",
            "fax_number": "740-342-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGY",
        "first_name": "ROBERT",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward James Hackim III, PHARMD, RPH
• Jeffrey Jordan Haggenjos, DO
• Robert Dale Hague Jr.
• Carter Gray Hagy, DDS
• Laura Jean Hagy, DMD
• Amanda Lynnette Hambel, COTA/L
• Kacy M Hambel, LPN
• Tiffany Renee Hambel, LPN
• Alyssa Hamm, DPT
• Kelsey Hammock, BA, CT

• Dentist in New Lexington, OH
• Providers in New Lexington, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.