Active NPI
Maria F Barrera Hagen, D.D.S
- Dentist
- Melbourne, FL
National Provider Identifier
1730314360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18626
- Practice address
- 1694 W Hibiscus Blvd Ste a
Melbourne, FL 32901-2636 - Phone
- (321) 412-3239
- NPI assigned
- May 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN18626 | FL | Primary |
Addresses
Primary practice location
1694 W Hibiscus Blvd Ste a
Melbourne, FL 32901-2636
Mailing address
140 Jamaica Dr
Cocoa Beach, FL 32931-3213
Phone (407) 739-6979
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN18626 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1730314360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 JAMAICA DR",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329313213",
"telephone_number": "407-739-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1694 W HIBISCUS BLVD STE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012636",
"telephone_number": "321-412-3239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRERA HAGEN",
"first_name": "MARIA",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-27",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.