NPIMap

Organization Active NPI

Jacob D. Hager, D.D.S., M.S., P.C.

Doing business as Periodontal Implant Center

  • Dental Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1730350935
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5718 Issued in OK
Legal business name
JACOB D. HAGER, D.D.S., M.S., P.C.
Doing business as
Periodontal Implant Center
Practice address
8203 S Walker Ave
Oklahoma City, OK 73139-9451
Phone
(405) 636-1411
Fax
(405) 636-1197
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Jacob Daniel Hager, D.D.S., M.S.NPI 1316153851
Title
President
Phone
(405) 636-1411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5718 OK Primary

Addresses

Primary practice location

8203 S Walker Ave
Oklahoma City, OK 73139-9451

Mailing address

8203 S Walker Ave
Oklahoma City, OK 73139-9451
Phone (405) 636-1411

Other names 1

  • Periodontal Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

8203 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 636-1411

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1730350935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399451",
            "telephone_number": "405-636-1411",
            "fax_number": "405-636-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399451",
            "telephone_number": "405-636-1411",
            "fax_number": "405-636-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB D. HAGER, D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "HAGER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-636-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "5718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontal Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.