Jacob Wilhelm Hagmayer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6001062-15 Issued in WI

Practice address

625 Walnut Ridge Dr Ste 102
Hartland, WI 53029-8803

Phone

(262) 367-4255

NPI assigned

Jun 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Smith Dental West

  • General Practice Dentistry
  • Hartland, WI
  • NPI 1003936279
  NPD
• Dental Care With Amore, SC.

  • Dental Clinic/Center
  • Hales Corners, WI
  • NPI 1063143873
  NPD (past)
• Patel Dental Wellness LLC

  • Dental Clinic/Center
  • Hales Corners, WI
  • NPI 1205721305
  NPD (past)
• Paul D Smith D.D.S., S.C. Dba Jackson Park Family Dental

  • Dentist
  • Milwaukee, WI
  • NPI 1558023622
  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1760113435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 S 90TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WALNUT RIDGE DR STE 102",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298803",
            "telephone_number": "262-367-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 W Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154175",
            "country_code": "US",
            "telephone_number": "414-645-0365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGMAYER",
        "first_name": "JACOB",
        "middle_name": "WILHELM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001062-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veena V Gonuguntla, MD
• Kelly M Grandlich
• Grant a. Lemke D.D.S., S.C.
• Bradley James Groff, RN
• Christine B Groth, RPH, CDM
• Hans J Halaska, D.C.
• Kirk Hanson, D.O.
• Hartland Family Chiropractic, LLC
• Hartland Lakeside JT. Dist. #3
• Hartland Place

• Dentist in Hartland, WI
• Providers in Hartland, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.