Robert Jay Lagroon, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3224 Issued in SC

Practice address

791 Hwy 7
McCormick, SC 29835

Phone

(864) 391-9100

Fax

(864) 391-9100

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Dr. Robert Jay Lagroon Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2016.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1992904536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 HWY 7",
            "city": "MCCORMICK",
            "state": "SC",
            "postal_code": "29835",
            "telephone_number": "864-391-9100",
            "fax_number": "864-391-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 HWY 7",
            "city": "MCCORMICK",
            "state": "SC",
            "postal_code": "29835",
            "telephone_number": "864-391-9100",
            "fax_number": "864-391-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGROON",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "LAGROON",
            "middle_name": "JAY",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in McCormick, SC
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.