David M Hagel, D.D.S., P.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5258 Issued in WA

Practice address

23515 NE Novelty Hill Rd
#209
Redmond, WA 98053-1996

Phone

(425) 898-7780

Fax

(425) 898-1310

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Shane T Ness DDS PLLC

  • Dental Clinic/Center
  • Redmond, WA
  • NPI 1306399381
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497842264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23515 NE NOVELTY HILL RD",
            "address_2": "#209",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531996",
            "telephone_number": "425-898-7780",
            "fax_number": "425-898-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23515 NE NOVELTY HILL RD",
            "address_2": "#209",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531996",
            "telephone_number": "425-898-7780",
            "fax_number": "425-898-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEL",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Claire Gutshall, LMHCA
• Anthony Guynes, M.D.
• H Dental Group LLC
• Sage Jihyun Ha, L.AC.
• Elizabeth Anne Hagan
• Jenson James Hagen, N.D.
• Jewel N Hagen, CRNA
• Haggen Opco North LLC
• Patrick Lefebvre Hains, LICSW
• Mosen Haksar

• General Practice Dentistry in Redmond, WA
• Providers in Redmond, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.