Active NPI
Nicholas A. Hatges, D.M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Drexel Hill, PA
National Provider Identifier
1043331218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DS029437L
- Practice address
- 2300 Garrett Rd
Drexel Hill, PA 19026-1102 - Phone
- (610) 623-4211
- NPI assigned
- Apr 3, 2007
- Last updated
- Aug 6, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS029437L | PA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DS029437L | PA | Primary |
Addresses
Primary practice location
2300 Garrett Rd
Drexel Hill, PA 19026-1102
Mailing address
2300 Garrett Rd
Drexel Hill, PA 19026-1102
Phone (610) 623-4211
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Oral Surgery LLC | Oral & Maxillofacial Surgery | Current | Accepting new patients |
Locations
2300 Garrett Rd
Drexel Hill, PA 19026
Phone (610) 623-4211
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Drexel Hill, PA
- NPI 1487247607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1043331218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 GARRETT RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190261102",
"telephone_number": "610-623-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GARRETT RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190261102",
"telephone_number": "610-623-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATGES",
"first_name": "NICHOLAS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS029437L",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "PA",
"license": "DS029437L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.