Martin Alan Hirsch, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

019015576 Issued in IL

Practice address

2800 N Sheridan Rd
Suite 204
Chicago, IL 60657-6156

Phone

(773) 248-6140

Fax

(773) 248-4628

NPI assigned

Mar 11, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Head & Neck Cosmetic Surgery Associates LLC

  • Otolaryngology Physician
  • Skokie, IL
  • NPI 1558330811
  NPD (past)
• Noah H Rosen DMD, LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1265881932
  NPD (past)
• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922115864
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1003948555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 HAZEL LN",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931313",
            "telephone_number": "847-446-9696",
            "fax_number": "847-446-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "SUITE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-248-6140",
            "fax_number": "773-248-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "MARTIN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019015576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Hirsch, M.D.
• Denise Hirsch, LCSW
• Jacqueline Hirsch
• Lauren Alyssa Hirsch, PHD
• Marlyn D Hirsch, A.P.N.
• Rebecca Hirsch, M.A.
• Robert Scott Hirsch, PSY.D.
• Sheldon M Hirsch, MD
• Arielle Hirschfeld
• Carol Hirschfield, APN

• Prosthodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Prosthodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.