Active NPI
Mark J. Hagele, DDS, Inc.
- Dentist
- Nevada City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39410
- Legal business name
- MARK J. HAGELE, DDS, INC.
- Practice address
- 101 Providence Mine Rd
Suite 103-B
Nevada City, CA 95959-2939 - Phone
- (530) 265-6656
- NPI assigned
- Jan 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark James Hagele, D.D.S.
- Title
- Owner/President
- Phone
- (530) 265-6656
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39410 | CA | Primary |
Addresses
Primary practice location
101 Providence Mine Rd
Suite 103-B
Nevada City, CA 95959-2939
Mailing address
101 Providence Mine Rd
Suite 103-B
Nevada City, CA 95959-2939
Phone (530) 265-6656
National Provider Directory
National Provider Directory- Tax ID family
- Mark J Hagele DDS Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Nevada City, CA
- NPI 1588842967
-
- Dentist
- Windsor, CA
- NPI 1578741955
Locations
101 Providence Mine Rd
Ste 103B
Nevada City, CA 95959
Phone (530) 265-6656
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Nevada City, CA
- NPI 1124116660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414713600000",
"number": "1912184409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PROVIDENCE MINE RD",
"address_2": "SUITE 103-B",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592939",
"telephone_number": "530-265-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PROVIDENCE MINE RD",
"address_2": "SUITE 103-B",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592939",
"telephone_number": "530-265-6656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK J. HAGELE, DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-28",
"last_updated": "2014-10-31",
"status": "A",
"authorized_official_last_name": "HAGELE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "530-265-6656",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "39410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.