Active NPI
Paul D Hague, DMD
- Dentist
- Buchanan, GA
National Provider Identifier
1396829974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- GA9808
- Practice address
- 3516 U.S. 27S
Buchanan, GA 30113 - Phone
- (770) 646-8294
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | GA9808 | GA | Primary |
Addresses
Primary practice location
3516 U.S. 27S
Buchanan, GA 30113
Mailing address
112 Dixie Ave S
Bremen, GA 30110-2206
Phone (770) 537-6228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160209001329 | GA | Order and Referring Only - Oral Surgery | 6305140500 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA9808 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396829974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 DIXIE AVE S",
"city": "BREMEN",
"state": "GA",
"postal_code": "301102206",
"telephone_number": "770-537-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3516 U.S. 27S",
"city": "BUCHANAN",
"state": "GA",
"postal_code": "30113",
"telephone_number": "770-646-8294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGUE",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "GA9808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buchanan, GA
- Denis Morin (buchanan medical clinic)
- Erin Wurtz Everson
- Kellilyn Gates
- Georgia Subacute Services (Southern Traditions)
- Glenna Green, FNP-BC
- Haralson County Board of Education
- Haralson County Board of Health (Haralson County Health Department)
- Crystal Holmes Hembree, CPHT
- Karla Eileen Hemphill Harris, DO
- Jim Cash Pharmacy LLC (Buchanan Drugs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.