Active NPI
David M Hagel, D.D.S., P.S.
- General Practice Dentistry
- Redmond, WA
National Provider Identifier
1497842264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5258
- 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
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5258 | WA | Primary |
Addresses
Primary practice location
23515 NE Novelty Hill Rd
#209
Redmond, WA 98053-1996
Mailing address
23515 NE Novelty Hill Rd
#209
Redmond, WA 98053-1996
Phone (425) 898-7780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5258 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shane T Ness DDS PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- 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.