Individual provider Active NPI

Roger Concepcion Nagal, D.M.D.

  • Dentist
  • National City, CA
National Provider Identifier
1871747774
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44954 Issued in CA
Practice address
450 E 8TH St Ste E
National City, CA 91950-2300
Phone
(619) 474-7279
NPI assigned
Nov 5, 2008
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44954 CA Primary

Addresses

Primary practice location

450 E 8TH St Ste E
National City, CA 91950-2300

Mailing address

450 E 8TH St Ste E
National City, CA 91950-2300
Phone (619) 474-7279

Other identifiers 2

IdentifierTypeStateIssuer
G92672-01OtherCADENTI-CAL
G92672-01OtherCADELTA DENTAL

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

LicenseStateTypeSpecialty
44954CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hernandez and Nagal, Apc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1871747774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 8TH ST STE E",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502300",
            "telephone_number": "619-474-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 8TH ST STE E",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502300",
            "telephone_number": "619-474-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGAL",
        "first_name": "ROGER",
        "middle_name": "CONCEPCION",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G92672-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "G92672-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.