Individual provider Active NPI

Joseph Frank Hagenbruch, D.M.D.

  • General Practice Dentistry
  • Harvard, IL
National Provider Identifier
1568415420
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
502 N Hart Blvd
Harvard, IL 60033-2445
Phone
(815) 943-5420
Fax
(815) 943-5429
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

502 N Hart Blvd
Harvard, IL 60033-2445

Mailing address

502 N Hart Blvd
Harvard, IL 60033-2445
Phone (815) 943-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-018415ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Morgen M Kaiser DDS PC General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568415420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N HART BLVD",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600332445",
            "telephone_number": "815-943-5420",
            "fax_number": "815-943-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N HART BLVD",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600332445",
            "telephone_number": "815-943-5420",
            "fax_number": "815-943-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENBRUCH",
        "first_name": "JOSEPH",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvard, IL

Sources for this page

Verify at the official NPI Registry.