Kevin Patrick Hagerty, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2155 Issued in RI

Practice address

61 Cedar Avenue
Steeple View East, #5
East Greenwich, RI 02818-3190

Phone

(401) 884-4874

Fax

(401) 884-4928

NPI assigned

Mar 23, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1902865231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CEDAR AVENUE",
            "address_2": "STEEPLE VIEW EAST, #5",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183161",
            "telephone_number": "401-884-4874",
            "fax_number": "401-884-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CEDAR AVENUE",
            "address_2": "STEEPLE VIEW EAST, #5",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183190",
            "telephone_number": "401-884-4874",
            "fax_number": "401-884-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KH00257",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DENTAL RI",
            "identifier": "8048-6",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Gyra, LICSW
• Klaus Friedrich Haas, MD
• Charles Hackett, MD
• Jacquelyn Hadi, DMD
• Caroline Hagerty, PT
• Lisa Miller Haines, MD
• Sarah Rose Hammond
• Susan M Hammond, PT
• Scott A Handley, DPM
• Happynest,LLC

• General Practice Dentistry in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.