DR. CHARLES OWEN HAZELRIGG


Address: 1121 W Michigan St, Indianapolis, IN 46202-5211
Phone: 3172748111

DR. CHARLES OWEN HAZELRIGG (NPI# 1922127612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922127612
Entity Type Individual
Full Name DR. CHARLES OWEN HAZELRIGG
Credential D.D.S.
Practice Address 1121 W Michigan St
Indianapolis
IN 46202-5211
Mailing Address 5057 Woodfield Dr
Carmel
IN 46033-9424
Practice Telephone 3172748111
Mailing Telephone 3178440391
Enumeration Date 2007-03-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
12006760A IN Dental Providers

Other Providers CHARLES HAZELRIGG

NPI Name Taxonomy Address Enumeration
1912101189 Charles Tabb Hazelrigg IIi Dentist 1713 Devonshire Dr, Columbia, SC 29204-2404 2007-06-12

Office Location

Street Address 1121 W MICHIGAN ST
City INDIANAPOLIS
State IN
Zip Code 46202-5211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528055951 Norman Blaine Cook Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2005-09-30
1780293480 Brian Jeffrey Hoagburg Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2020-07-28
1922647114 Meenarin Panittaveekul Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2020-01-06
1780167999 Laila Al Dehailan Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2018-09-13
1497235238 Chao-chieh Yang Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2018-08-21
1265925663 Elana Laks Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2018-06-11
1720529019 Waldemar Polido Dentist 1121 W Michigan St, Ds307b, Indianapolis, IN 46202-5211 2017-03-20
1083154041 Ahmed Ghoneima Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2017-02-24
1447705108 Anderson T Hara Dentist 1121 W Michigan St, Ds307b, Indianapolis, IN 46202-5211 2016-08-23
1003269614 Jeong Hwa Hong Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2016-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194245225 Sara Gholam Dentist 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 2017-06-20
1629443544 Allison C Scully Dentist 1121 W Michigan Street Ds307b, Indianapolis, IN 46202-5186 2015-12-03
1346535010 Scott D. Papineau Dentist 7725 S Emerson Ave, Indianapolis, IN 46237-8654 2011-06-10
1376837070 Steele Pediatric Dentistry LLC Dentist 4509 Northeastern Ave, Indianapolis, IN 46239-1660 2011-05-31
1124151592 Judith Renee Chin Dentist 1121 W Michigan St # Ds220, Indiana University School of Dentistry, Indianapolis, IN 46202-5211 2007-03-14
1437280526 David Scott Morgan Dentist 8802 N Meridian St, Suite 101, Indianapolis, IN 46260-5318 2007-03-08
1700949724 Sandersweddellpediatric Dentalspecialist Dentist 860 East 86th Street, Suite1, Indianapolis, IN 46240-6859 2006-12-19
1952477846 Annette Tepner Farthing Dentist 7725 S Emerson Avenue, Indianapolis, IN 46237-8654 2006-11-24
1881769602 James A. Weddell Dds,msd,pc Dentist 3737 North Meridian, Suite 100, Indianapolis, IN 46208-4357 2006-11-21
1811062664 Kelli R Lucia Dentist 3737 North Meridian Street, Suite 100, Indianapolis, IN 46208-4357 2006-11-21
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Competitor

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City INDIANAPOLIS
Zip Code 46202

Improve Information

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Dataset Information

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.

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