Hagarty Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8341 Issued in IA

Legal business name

HAGARTY FAMILY DENTAL PC

Practice address

2180 Norcor Ave
Suite C
Coralville, IA 52241-9748

Phone

(319) 351-9723

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Sean Hagarty, D.D.S.

Title

President

Phone

(319) 351-9723

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1710139191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 NORCOR AVE",
            "address_2": "SUITE C",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419748",
            "telephone_number": "319-351-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 NORCOR AVE",
            "address_2": "SUITE C",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419748",
            "telephone_number": "319-351-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGARTY FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "HAGARTY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-351-9723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.