Active NPI
David Reza Hager
- Student in an Organized Health Care Education/Training Program
- Mesa, AZ
National Provider Identifier
1639869571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1301 S Crismon Rd
Mesa, AZ 85209-3767 - Phone
- (480) 358-6100
- NPI assigned
- May 12, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AZ | Primary |
Addresses
Primary practice location
1301 S Crismon Rd
Mesa, AZ 85209-3767
Mailing address
1509 E Bruce Ave
Gilbert, AZ 85234-1050
Phone (480) 828-0077
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)
- Not enrolled
Interoperability endpoints
- david.hager.1@32866.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1639869571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 E BRUCE AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852341050",
"telephone_number": "480-828-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S CRISMON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852093767",
"telephone_number": "480-358-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGER",
"first_name": "DAVID",
"middle_name": "REZA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.