Katie Hagan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110548 Issued in CA

Practice address

2460 Mission St Ste 106
San Francisco, CA 94110-2430

Phone

(415) 849-9991

NPI assigned

Aug 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1679307102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BENTON AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 MISSION ST STE 106",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102430",
            "telephone_number": "415-849-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Hafkenschiel
• Stephanie Haft, PHD
• Aaron Hagaman
• Haley Hagan
• Katherine Hagan
• Anne Elizabeth Hagbom, RN, PNP
• Nelden William Hagbom
• Victoria Franson Hagbom, NURSE PRACTITIONER
• Anna Michele Hage
• Rabih Hage, MD

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.