J Greg Haag DMD PSC

Primary specialty

DentistTaxonomy code 122300000X

License

6337 Issued in KY

Legal business name

J GREG HAAG DMD PSC

Practice address

1250 Thornberry Dr
Madisonville, KY 42431

Phone

(270) 825-9616

Fax

(270) 825-3901

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Gregory Haag, DMDNPI 1447695234

Title

Owner

Phone

(270) 825-9616

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Greg Haag, DMD

  • Dentist
  • Madisonville, KY
  • NPI 1447695234
  NPD (past) Authorized official
• Kathryn Haag Taylor, D.M.D

  • Dentist
  • Madisonville, KY
  • NPI 1770273294
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1679618938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 THORNBERRY DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "42431",
            "telephone_number": "270-825-9616",
            "fax_number": "270-825-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 THORNBERRY DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "42431",
            "telephone_number": "270-825-9616",
            "fax_number": "270-825-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J GREG HAAG DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-825-9616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "6337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60063377",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Imtiaz Hussain, M.D.
• Michael Scott Hutchins
• Meredith Hyde, PMHNP-BC
• Daniel W. Ipock, HEARING AIDS
• Savannah Shea Ipock, B.S
• J P Stulc PSC
• Jennifer C. Jackson, MD
• Kammie Jackson
• Tierra Jackson
• Hannah Jacobs, PTA

• Dentist in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.