Hagen Ranch Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14458 Issued in FL

Legal business name

HAGEN RANCH DENTAL CENTER

Practice address

7410 Boynton Beach Blvd
Ste B3
Boynton Beach, FL 33437-6156

Phone

(561) 734-7171

Fax

(561) 734-8884

NPI assigned

Aug 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason B Klein, DDSNPI 1164693685

Title

Owner

Phone

(561) 734-7171

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason B Klein, DDS

  • Dentist
  • Boynton Beach, FL
  • NPI 1164693685
  NPD (past) Authorized official
• Colleen G Mishler, DMD

  • General Practice Dentistry
  • Delray Beach, FL
  • NPI 1427252204
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376553800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 BOYNTON BEACH BLVD",
            "address_2": "STE B3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376156",
            "telephone_number": "561-734-7171",
            "fax_number": "561-734-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 BOYNTON BEACH BLVD",
            "address_2": "STE B3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376156",
            "telephone_number": "561-734-7171",
            "fax_number": "561-734-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGEN RANCH DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-734-7171",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "14458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maged Habib, MD
• Mary-Helen S. Habib, DMD
• Kirenia Haces
• Blake Hadar, MS CCC-SLP
• Farahnaz Rebecca Hadjimiry
• Marylouise Hagerty, ARNP
• Gillian Haggerty, LMHC
• Kaitlyn Hajjar, PA-C
• Paula Fadwah Halaby, ARNP, CNM
• Anjalee Haldane

• General Practice Dentistry in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.