Active NPI
Nicholas L Hammermeister, DDS
- Dentist
- Streetsboro, OH
National Provider Identifier
1003824830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30021019
- Practice address
- 8961 State Route 14 Unit B
Streetsboro, OH 44241-5625 - Phone
- (330) 422-1400
- Fax
- (330) 422-1460
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30021019 | OH | Primary |
Addresses
Primary practice location
8961 State Route 14 Unit B
Streetsboro, OH 44241-5625
Mailing address
8961 State Route 14 Unit B
Streetsboro, OH 44241-5625
Phone (330) 422-1400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-1710440 | Other | OH | TAX ID # |
| 2135040 | Medicaid | OH | |
| 30. 021019 | Other | OH | STATE LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30021019 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Past | Accepting new patients |
Networks
- KY PPO C-SNP
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Educator
- Cleveland, OH
- NPI 1609434323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1003824830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8961 STATE ROUTE 14 UNIT B",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442415625",
"telephone_number": "330-422-1400",
"fax_number": "330-422-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8961 STATE ROUTE 14 UNIT B",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442415625",
"telephone_number": "330-422-1400",
"fax_number": "330-422-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMERMEISTER",
"first_name": "NICHOLAS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30021019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "20-1710440",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2135040",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "30. 021019",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Streetsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.