Individual provider Active NPI

Christie Lynn Hagert, DDS

  • Dentist
  • Sterling, VA
National Provider Identifier
1669569398
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410717 Issued in VA
Practice address
46302 McClellan Way
Sterling, VA 20165-7243
Phone
(703) 444-5095
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401410717 VA Primary

Addresses

Primary practice location

46302 McClellan Way
Sterling, VA 20165-7243

Mailing address

46302 McClellan Way
Sterling, VA 20165-7243
Phone (703) 444-5095

Other identifiers 1

IdentifierTypeStateIssuer
9178835MedicaidVA

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

State licenses

LicenseStateTypeSpecialty
0401410717VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruparelia DDS PC Dentist PastSince Aug 21, 2017 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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1669569398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46302 MCCLELLAN WAY",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657243",
            "telephone_number": "703-444-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46302 MCCLELLAN WAY",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657243",
            "telephone_number": "703-444-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERT",
        "first_name": "CHRISTIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178835",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.