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DR. HENRY JOSEPH TAGLE III D.M.D.
NPI 1720128812
Dentist - Endodontics in Flagstaff, AZ

Active since February 07, 2007Opted out of Medicare · through Dec 28, 2027
1600 W. UNIVESITY AVE STE 103, SUITE 102, FLAGSTAFF, AZ 86001(928) 774-4400(928) 774-5436 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Henry Joseph Tagle Iii D.m.d. NPPES

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

DR. HENRY JOSEPH TAGLE III D.M.D. (NPI 1720128812) is an individual endodontics provider in Flagstaff, Arizona, licensed in Arizona (6531) and active in the NPI registry since February 2007. He has opted out of Medicare through December 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720128812
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. HENRY JOSEPH TAGLE IIICredential: D.M.D.
Location Address1600 W. UNIVESITY AVE STE 103, SUITE 102Flagstaff, AZ 86001
Mailing Address1600 W. Univesity Ave Ste 103, Suite 102Flagstaff, AZ 86001 · (928) 774-4400 · Fax (928) 774-5436
Phone(928) 774-4400
Fax(928) 774-5436
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJanuary 25, 2017
✔ NPI 1720128812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in AZ · 6531
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1600 W. UNIVESITY AVE STE 103, Flagstaff, AZ 86001
Open in Google Maps ↗

Other Identifiers 2

Other6531AZ · License Number
Other860875508AZ · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Henry Joseph Tagle Iii D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 28, 2015 through December 28, 2027.

Opt-Out Effective DateDecember 28, 2015
Opt-Out In Effect ThroughDecember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Henry Tagle's NPI number?

The NPI number for Henry Tagle is 1720128812. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Henry Tagle located?

Henry Tagle practices at 1600 W. Univesity Ave Ste 103 Suite 102, Flagstaff, AZ 86001. The listed phone number is (928) 774-4400.

What is Henry Tagle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Henry Tagle enrolled in Medicare?

No. Henry Tagle has opted out of Medicare through December 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Henry Tagle accept?

Health plans from Delta Dental of Arizona list Henry Tagle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Henry Tagle was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.