Individual provider Active NPI

James Keith Hargan, D.M.D, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Elizabethtown, KY
National Provider Identifier
1659480671
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6884 Issued in KY
Practice address
1105 Mary T Meagher Rd
Elizabethtown, KY 42701-7990
Phone
(270) 737-1733
Fax
(270) 737-2949
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6884 KY Primary

Addresses

Primary practice location

1105 Mary T Meagher Rd
Elizabethtown, KY 42701-7990

Mailing address

1105 Mary T Meagher Rd
Elizabethtown, KY 42701-7990
Phone (270) 737-1733

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2014 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6884KYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Facial Surgery Center of Ky PLLC Oral and Maxillofacial Surgery 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1659480671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MARY T MEAGHER RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017990",
            "telephone_number": "270-737-1733",
            "fax_number": "270-737-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MARY T MEAGHER RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017990",
            "telephone_number": "270-737-1733",
            "fax_number": "270-737-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGAN",
        "first_name": "JAMES",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "D.M.D, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "6884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.