Individual provider Active NPI

Nicholas A. Hatges, D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Drexel Hill, PA
National Provider Identifier
1043331218
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DS029437L Issued in PA
Practice address
2300 Garrett Rd
Drexel Hill, PA 19026-1102
Phone
(610) 623-4211
NPI assigned
Apr 3, 2007
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Suburban Oral Surgery LLC Oral & Maxillofacial Surgery CurrentSince Feb 21, 2021 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.

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.

Verify at the official NPI Registry.