Melissa Carol Hagberg, RDH

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

7674 Design Rd
Baxter, MN 56425-8439

Phone

(218) 828-4816

NPI assigned

Aug 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tran-Lunning Dental PLLC

  • Dental Clinic/Center
  • Baxter, MN
  • NPI 1417615931
  NPD
• Design Dentistry, LLC

  • Dental Clinic/Center
  • Baxter, MN
  • NPI 1528130788
  NPD (past)

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1639898307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 COUNTY ROAD 127",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564017214",
            "telephone_number": "218-270-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7674 DESIGN RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258439",
            "telephone_number": "218-828-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGBERG",
        "first_name": "MELISSA",
        "middle_name": "CAROL",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H7582",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Gutzmann, PTA
• Britne Haasch, LICSW
• Katherine Rose Haberkorn, LICSW
• Susan J Hadland, NP
• Andrew Richard Hadrich, DPT
• Nicolle Hagen, APRN
• Lori Hagood, PT, CHT
• Kayleigh Catherine Haines
• Jesse Hall
• Ashley Ann Halverson

• Specialist in Baxter, MN
• Providers in Baxter, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.