Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNETH J. HAGEN JR. DDS
NPI 1780668996
Dentist - General Practice in Omaha, NE

Active since December 01, 2005
2811 N 90TH ST, OMAHA, NE 68134(402) 391-0459(402) 384-8888 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth J. Hagen Jr. Dds NPPES

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

KENNETH J. HAGEN JR. DDS (NPI 1780668996) is an individual general practice provider in Omaha, Nebraska, licensed in Nebraska (4646) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1780668996
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH J. HAGEN JR.Credential: DDS
Location Address2811 N 90TH STOmaha, NE 68134-5707
Mailing Address2811 N 90th StOmaha, NE 68134-5707 · (402) 391-0459 · Fax (402) 384-8888
Fax(402) 384-8888
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1780668996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NE · 4646
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2811 N 90TH ST, Omaha, NE 68134

Other Identifiers 3

Medicaid47063287713NE
Other132485NE · United Concordia Id#
Other5807NE · Bcbs Provider Id

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
2811 N 90TH ST
OMAHA, NE 68134
Dentist (General Practice)
2811 N 90TH ST
OMAHA, NE 68134
Dentist (General Practice)
2811 N 90TH ST
OMAHA, NE 68134

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 Kenneth Hagen's NPI number?

The NPI number for Kenneth Hagen is 1780668996. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Kenneth Hagen located?

Kenneth Hagen practices at 2811 N 90th St, Omaha, NE 68134. The listed phone number is (402) 391-0459.

What is Kenneth Hagen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kenneth Hagen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Kenneth Hagen 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 Kenneth Hagen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.