DR. DEREK TIMOTHY FAGEN DDS
NPI 1184836991
Dentist in San Antonio, TX

Q: What is Derek Fagen's NPI number?

The NPI number for Derek Fagen is 1184836991. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Q: What is Derek Fagen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Fagen was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2007

3038 WILLIAM HARDEE RD, SAN ANTONIO, TX 78234(210) 427-6813 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Derek Timothy Fagen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK TIMOTHY FAGEN DDS (NPI 1184836991) is an individual dentist in San Antonio, Texas, licensed in Iowa (08256) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1184836991

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. DEREK TIMOTHY FAGENCredential: DDS

Location Address3038 WILLIAM HARDEE RDSan Antonio, TX 78234-2532

Mailing Address1729 Crystal BridgesSan Antonio, TX 78260-2198 · (210) 427-6813

Phone(210) 427-6813

Sole ProprietorNo

Enumeration DateMay 4, 2007

Last NPPES UpdateNovember 1, 2022

NPPES CertifiedNovember 1, 2022

✔ NPI 1184836991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IA · 08256

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3038 WILLIAM HARDEE RD, San Antonio, TX 78234

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Fagen's NPI number?

The NPI number for Derek Fagen is 1184836991. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Derek Fagen located?

Derek Fagen practices at 3038 William Hardee Rd, San Antonio, TX 78234. The listed phone number is (210) 427-6813.

What is Derek Fagen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Derek Fagen was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.