Active NPI
Brandon Ernest Hagler, DDS
- Dentist
- New Orleans, LA
National Provider Identifier
1457525743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5929
- Practice address
- 7023 Read LN
New Orleans, LA 70127-2366 - Phone
- (504) 244-0177
- Fax
- (504) 309-9666
- NPI assigned
- Apr 17, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 5929 | LA | Primary |
Addresses
Primary practice location
7023 Read LN
New Orleans, LA 70127-2366
Mailing address
1201 Canal St Apt 501
New Orleans, LA 70112-2673
Phone (504) 906-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1859290 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20160129000578 | LA | Order and Referring Only - Dentist | 5193028827 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Family Dental Inc | Current | Accepting new patients |
Locations
7023 Read Ln
New Orleans, LA 70127
Phone (504) 244-0177
Organizations & group practices 1
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.
-
- General Practice Dentistry
- New Orleans, LA
- NPI 1689934861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1457525743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 CANAL ST APT 501",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122673",
"telephone_number": "504-906-0099",
"fax_number": "504-309-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023 READ LN",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701272366",
"telephone_number": "504-244-0177",
"fax_number": "504-309-9666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGLER",
"first_name": "BRANDON",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-17",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1859290",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.