Active NPI
Frank H Hackman, DDS
- Dentist
- Northridge, CA
National Provider Identifier
1013042894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 45463
- Practice address
- 8864 Corbin Ave
All Family Dental Care
Northridge, CA 91324-3309 - Phone
- (818) 700-7980
- Fax
- (818) 709-7830
- NPI assigned
- Feb 22, 2007
- 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 | 45463 | CA | Primary |
Addresses
Primary practice location
8864 Corbin Ave
All Family Dental Care
Northridge, CA 91324-3309
Mailing address
8864 Corbin Ave
All Family Dental Care
Northridge, CA 91324-3309
Phone (818) 700-7980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160610001487 | CA | Order and Referring Only - Dentist | 5698065100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45463 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013042894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8864 CORBIN AVE",
"address_2": "ALL FAMILY DENTAL CARE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243309",
"telephone_number": "818-700-7980",
"fax_number": "818-709-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8864 CORBIN AVE",
"address_2": "ALL FAMILY DENTAL CARE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243309",
"telephone_number": "818-700-7980",
"fax_number": "818-709-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKMAN",
"first_name": "FRANK",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "45463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.