Gregory Adrian Hack, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

007723 Issued in CT

Practice address

196 Parkway S
Suite 305
Waterford, CT 06385-1234

Phone

(860) 443-1827

Fax

(860) 443-1745

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

No

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)

Not 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.

• Orthodontic Associates of Southeastern Connecticut, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waterford, CT
  • NPI 1275734824
  NPD (past) Authorized official
• Myorthos Connecticut Orthodontics PC

  dba Orthodontic Associates of Southeastern Connecticut

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waterford, CT
  • NPI 1235899816
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013118611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STONEWOOD DR",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711845",
            "telephone_number": "860-434-1610",
            "fax_number": "860-434-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 305",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-443-1827",
            "fax_number": "860-443-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACK",
        "first_name": "GREGORY",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "007723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greentree Manor Nursing and Rehabilitation Center Inc
• Jillian Grey, PT, DPT
• Kathleen McKenzie Griffith, LCSW
• Teresa Grochowski, OD
• Kimberly Guzzio, PA-C
• Karim Hanna, MD
• Sherry Barbara Hansley, LPC
• Margaret Mary Harris, MA, LPC
• Haven Health Center of Waterford, LLC
• Heather Bodie Therapy LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Waterford, CT
• Providers in Waterford, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.