Peter Eric Hagen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32842 Issued in CA

Practice address

10900 Warner Ave Ste 117
Fountain Valley, CA 92708-3846

Phone

(714) 965-5255

Fax

(714) 965-5253

NPI assigned

Oct 10, 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

Not listed in the public Medicare enrollment file

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.

• Peter E. Hagen, DDS, Inc

  • General Practice Dentistry
  • Fountain Valley, CA
  • NPI 1033595996
  NPD (past) Authorized official
• Hagen & Pham Dental Partnership

  • General Practice Dentistry
  • Fountain Valley, CA
  • NPI 1104462696
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1457448441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18426 BROOKHURST ST # 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086706",
            "telephone_number": "714-965-5255",
            "fax_number": "714-965-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE STE 117",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-965-5255",
            "fax_number": "714-965-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "PETER",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hadiprodjo, M.D.
• Afsaneh Haftbaradaran Mohammadi, M.D.
• Jordan Ashley Hagadone, RBT
• Hagen & Pham Dental Partnership
• Christopher Storm Hagen, DDS
• Katherine Maryam Haghighi, R.D.
• Hai X Le MD Inc
• Doe Hai
• Hamid Cyrus Hajarian, M.D., D.D.S.
• Chris Harry Halamandaris, D.C.

• General Practice Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.