Active NPI
Roy Lagemann
- Dentist
- Fresno, CA
National Provider Identifier
1992199764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100538
- Practice address
- 290 N Wayte LN
Fresno, CA 93701-2124 - Phone
- (559) 459-3562
- NPI assigned
- Mar 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100538 | CA | Primary |
Addresses
Primary practice location
290 N Wayte LN
Fresno, CA 93701-2124
Mailing address
290 N. Wayte Lane
Fresno, CA 93701
Phone (408) 309-7082
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100538 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1992199764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 N. WAYTE LANE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93701",
"telephone_number": "408-309-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 N WAYTE LN",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012124",
"telephone_number": "559-459-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGEMANN",
"first_name": "ROY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-19",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
- Amanda Laeno, CADTP 19770
- Kelani Matalasi Lafaele
- Michele Morgan Laffen, LMFT
- Cynthia Yesenia Lafrance
- Lagacy Adult Care LLC
- Jose E. Lagera, MD
- Christine P Lagler, M.D.
- Lags Spine & Sportscare Medical Centers Inc
- Lags Spine and Sportscare Medical Centers, Inc.
- Lags Spine and Sportscare Medical Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.