Active NPI
Whitney Smith Hagan, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1366853558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R6790
- Practice address
- 5924 Royal Lane
Suite 216
Dallas, TX 75230 - Phone
- (214) 305-6890
- Fax
- (214) 377-5043
- NPI assigned
- May 10, 2014
- Last updated
- Mar 4, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R6790 | TX | Primary |
Addresses
Primary practice location
5924 Royal Lane
Suite 216
Dallas, TX 75230
Mailing address
6334 Velasco Avenue
Dallas, TX 75214
Phone (646) 337-7792
Other names 1
- Dr. Whitney Ann Smith
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6790 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1366853558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6334 VELASCO AVENUE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75214",
"telephone_number": "646-337-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5924 ROYAL LANE",
"address_2": "SUITE 216",
"city": "DALLAS",
"state": "TX",
"postal_code": "75230",
"telephone_number": "214-305-6890",
"fax_number": "214-377-5043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "WHITNEY",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-10",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "R6790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "SMITH",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.