Douglas E. Agard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2320 Issued in WI

Practice address

1336 Creston Park Dr
Janesville, WI 53545-1119

Phone

(608) 755-1082

Fax

(608) 754-0192

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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.

• Agard & Lipker Dental, S.C.

  • General Practice Dentistry
  • Janesville, WI
  • NPI 1710010707

  General Practice

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730108960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 CRESTON PARK DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451119",
            "telephone_number": "608-755-1082",
            "fax_number": "608-754-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 CRESTON PARK DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451119",
            "telephone_number": "608-755-1082",
            "fax_number": "608-754-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARD",
        "first_name": "DOUGLAS",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Adams
• Audrey Marian Addaquay-Corey, APRN, PMHNP
• Valerie Addie
• Vicki Ann Adsit, LPN
• Agard & Lipker Dental, S.C.
• Kathleen E Agard, MD
• Raphael Agbavitor, MD
• Ishita Aghi, DDS
• Fayyaz Ahmed, MD
• Imdad Ahmed, MD

• All providers in Janesville, WI
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.