Hamm Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAMM DENTISTRY, LLC

Practice address

1313 W Harvard Ave
Roseburg, OR 97471-2838

Phone

(541) 673-3355

Fax

(541) 673-1533

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Kelby K Fujii

Title

Office Administration

Phone

(541) 673-3355

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark W Hamm, DMD

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1225035207
  NPD
• Nathan Robert Hamm, DMD

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1801445507
  NPD
• Karri Deeann Zimmerman, RDH

  • Dental Hygienist
  • Roseburg, OR
  • NPI 1881219087
  NPD

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1013512896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712838",
            "telephone_number": "541-673-3355",
            "fax_number": "541-673-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712838",
            "telephone_number": "541-673-3355",
            "fax_number": "541-673-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMM DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "FUJII",
        "authorized_official_first_name": "KELBY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATION",
        "authorized_official_telephone_number": "541-673-3355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500769119",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226860",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya L Hall, LCSW
• Natasha Amalia Hallswort6H, LMT
• Lauren Ham
• Brandi N Hamilton, B.S.
• Taylor Hamilton
• Mark W Hamm, DMD
• Nathan Robert Hamm, DMD
• Rae Hammond
• Daniel Joseph Hand, RN
• Darrel C Hand, FNP-BC

• General Practice Dentistry in Roseburg, OR
• Providers in Roseburg, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.