Individual provider Active NPI

Joe Dallas Hagewood, R.EP T.

  • Electroneurodiagnostic Specialist/Technologist
  • Franklin, TN
National Provider Identifier
1801020706
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Practice address
4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone
(615) 435-5000
NPI assigned
May 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

4321 Carothers Pkwy
Franklin, TN 37067-5909

Mailing address

777 E Girard Ave Ste 250
Englewood, CO 80113-2784
Phone (720) 214-2549

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

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1801020706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E GIRARD AVE STE 250",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132784",
            "telephone_number": "720-214-2549",
            "fax_number": "303-744-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 CAROTHERS PKWY",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675909",
            "telephone_number": "615-435-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEWOOD",
        "first_name": "JOE",
        "middle_name": "DALLAS",
        "credential": "R.EP T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.