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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. LANDON R HAGEN DDS
NPI 1487589677
Dentist in Grand Forks, ND

Active since June 17, 2026PECOS Enrolled
212 S 4TH ST STE 101, GRAND FORKS, ND 58201(701) 757-2100 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Landon R Hagen Dds NPPES

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

DR. LANDON R HAGEN DDS (NPI 1487589677) is an individual dentist in Grand Forks, North Dakota, licensed in North Dakota (2598) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Forks.

NPPES Registry Identity

NPI1487589677
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LANDON R HAGENCredential: DDS
Location Address212 S 4TH ST STE 101Grand Forks, ND 58201-4776
Mailing Address212 S 4th St Ste 200Grand Forks, ND 58201-4781 · (701) 757-2100
Phone(701) 757-2100
Sole ProprietorNo
Enumeration DateJune 17, 2026
Last NPPES UpdateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1487589677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ND · 2598
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.
212 S 4TH ST STE 101, Grand Forks, ND 58201
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Secondary Practice Location 1

Location 12600 DeMers Ave Ste 107Grand Forks, ND 58201-4100 · Phone (701) 213-9244

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Landon R Hagen Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. UPASNA GANDHI DDS
Dentist
212 S 4TH ST STE 101
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2100
JESSICA L MISKAVIGE DDS
Dentist
212 S 4TH ST STE 101
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2100
DR. NOMUHLE SANELISIWE DUBE DDS
Dentist (General Practice)
212 S 4TH ST STE 101
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2100
SCOTT M AMUNDSON DDS
Dentist (General Practice)
212 S 4TH ST STE 101
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2100

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 Landon Hagen's NPI number?

The NPI number for Landon Hagen is 1487589677. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Landon Hagen located?

Landon Hagen practices at 212 S 4th St Ste 101, Grand Forks, ND 58201. The listed phone number is (701) 757-2100.

What is Landon Hagen's specialty?

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

Is Landon Hagen enrolled in Medicare?

Yes. Landon Hagen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Landon Hagen was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.