DR. CHRISTOPHER JOHN HAGGERTY (NPI# 1629244959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629244959 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER JOHN HAGGERTY |
| Credential | DDS, MD |
| Practice Address |
3600 Ne Ralph Powell Rd Suite D Lees Summit MO 64064-2369 |
| Practice Telephone | 8165548300 |
| Practice Fax Number | 8165548303 |
| Mailing Telephone | 8165548300 |
| Mailing Fax Number | 8165548303 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2011-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
S-350 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CIGNA | 2002013152 | 01 |
| MO | DELTA OF MISSOURI | 273850017 | 01 |
| MO | UNITED CONCORDIA | 002514127 | 01 |
| MO | GUARDIAN | 273850017 | 01 |
| MO | DELTA OF KANSAS | 273850017 | 01 |
| MO | HUMANA | 273850017 | 01 |
| MO | BLUE CROSS BLUE SHEILD OF KANSAS CITY | 40397051 | 01 |
| MO | GEHA | 1700482249 | 01 |
| MO | CAREINGTON | 14777625 | 01 |
| MO | METLIFE | 273850017 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609883479 | Christopher J Haggerty | Ophthalmology | 1400 Dowell Springs Blvd Ste 310, Knoxville, TN 37909-2445 | 2006-08-02 |
| Street Address |
3600 NE RALPH POWELL RD SUITE D |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021140 | Christopher Andrew Best | Family Medicine | 3600 Ne Ralph Powell Rd, Ste B, Lees Summit, MO 64064-2357 | 2005-08-25 |
| 1174179667 | Mary Bierbaum | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd, Lees Summit, MO 64064-2369 | 2019-08-12 |
| 1689142911 | Susan Traiger | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd, Lees Summit, MO 64064-2369 | 2018-11-05 |
| 1831595404 | Jessica Cline | Nurse Practitioner | 3600 Ne Ralph Powell Rd, Suite B, Lees Summit, MO 64064-2369 | 2014-11-10 |
| 1124421516 | Wendy Carabetta | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd, Lees Summit, MO 64064-2369 | 2014-09-30 |
| 1043577257 | Lees Summit Center for Womens Wellness, LLC | Clinic/Center | 3600 Ne Ralph Powell Rd, Suite A, Lees Summit, MO 64064-2369 | 2012-04-12 |
| 1730460270 | Lakewood Oral and Maxillofacial Surgery Specialists | Dentist | 3600 Ne Ralph Powell Rd, Suite D, Lees Summit, MO 64064-2369 | 2011-08-29 |
| 1033341854 | Kansas City University of Medicine and Biosciences | Family Medicine | 3600 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064-2369 | 2009-08-12 |
| 1083887848 | Sheridan S. H .stevens M.d., Facs, PC | Plastic Surgery | 3600 Ne Ralph Powell Rd, Lees Summit, MO 64064-2369 | 2008-04-11 |
| 1316120645 | Goodview Family Care | Family Medicine | 3600 Ne Ralph Powell Rd, Suite B, Lees Summit, MO 64064-2369 | 2007-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403722 | Kansas City Facial and Oral Surgery, LLC | Dentist | 2931 Ne Independence Ave., Lees Summit, MO 64064-6406 | 2020-06-26 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| 1457469355 | Randall E Stone | Dentist | 200 Se Douglas, Ste #100, Lees Summit, MO 64063 | 2006-08-29 |
| 1447206552 | Cesar E Solano | Dentist | 708 Nw Commerce Dr, Lees Summit, MO 64086-5710 | 2006-05-26 |
| 1609134634 | C E Solano Dmd, PC | Dentist | 708 Nw Commerce Dr, Lees Summit, MO 64086-5710 | 2012-04-27 |
| 1730460270 | Lakewood Oral and Maxillofacial Surgery Specialists | Dentist | 3600 Ne Ralph Powell Rd, Suite D, Lees Summit, MO 64064-2369 | 2011-08-29 |
| 1699861906 | Facial Spectrum Inc | Dentist | 1208 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-10-05 |
| 1588626659 | Steven J Prstojevich | Dentist | 1208 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202943 | Kansas City Oral Surgery & Implant Center | Dentist | 8771 N Platte Purchase Dr, Kansas City, MO 64155-1829 | 2020-07-15 |
| 1134767866 | Courtney Ethington | Dentist | 4 West Dr Ste 170, Chesterfield, MO 63017-1793 | 2019-12-12 |
| 1184130528 | Archway Oral Surgery and Dental Implants | Dentist | 16 Hampton Village Plz Ste 200, Saint Louis, MO 63109-2128 | 2017-12-21 |
| 1780120410 | Ervin Simmons Iv Dmd LLC | Dentist | 3220 Parker Rd, Florissant, MO 63033-3733 | 2017-01-19 |
| 1437531209 | Federico Castillo Iv | Dentist | 2521 Cherry St, Kansas City, MO 64108-2750 | 2015-06-29 |
| 1114347861 | Zachary L Brown | Dentist | 4700 Belleview Ave Ste L10, Kansas City, MO 64112-1360 | 2014-04-21 |
| 1265868863 | Gregory Pernoud | Dentist | 1204 E State Route 72, Rolla, MO 65401-3938 | 2013-09-16 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| 1114217585 | Southeast Missouri Oral & Maxillofacial Surgery | Dentist | 1325 N Mount Auburn Rd, Cape Girardeau, MO 63701-1722 | 2011-04-19 |
| 1164650883 | Maryann L Udy | Dentist | 5551 Winghaven Blvd., Ste 210, O'fallon, MO 63368 | 2009-07-01 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.