Individual provider Active NPI

David E Hassinger, MD

  • Orthopaedic Surgery Physician
  • Boise, ID
National Provider Identifier
1053305672
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M-9364 Issued in ID
Practice address
7979 W Rifleman St
Boise, ID 83704-9066
Phone
(208) 855-2410
Fax
(208) 855-0157
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 10341 MT
Orthopaedic Surgery Physician 207X00000X M-9364 ID Primary

Addresses

Primary practice location

7979 W Rifleman St
Boise, ID 83704-9066

Mailing address

7979 W Rifleman St
Boise, ID 83704-9066
Phone (208) 855-2410

Other identifiers 2

IdentifierTypeStateIssuer
0061591MedicaidMT
807263700MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729000966 TX Practitioner - Orthopedic Surgery 8820015191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctx3 PLLCGroup PAC ID 1355620055, 85 clinicians

Practice addresses (Care Compare)

9500 Dallas Pkwy
Suite 100
Frisco, TX 75033-4120
Phone (469) 535-6647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-9364IDMDOrthopaedic Surgery Physician
10341MTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC Orthopaedic Surgery CurrentSince Jul 8, 2015 Accepting new patients
Doctx3 PLLC Orthopaedic Surgery CurrentSince Jul 17, 2024 Accepting new patients
Hendrick Medical Center Orthopaedic Surgery Past Accepting new patients
Doc LLC PastSince Jan 8, 2016 Accepting new patients

Locations

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

3412 E Hebron Pkwy
Ste 106
Carrollton, TX 75010
Phone (469) 277-8253

3100 Unicorn Lake Blvd
Ste 120
Denton, TX 76210
Phone (214) 444-5558

8501 Wade Blvd
Ste 630
Frisco, TX 75034
Phone (469) 535-6647

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

1900 Matlock Rd
Bldg 1
Mansfield, TX 76063
Phone (682) 628-0277

4600 Eldorado Pkwy
Ste 100
McKinney, TX 75070
Phone (972) 608-3855

2419 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (469) 535-6842

Organizations & group practices 6

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1053305672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 W RIFLEMAN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049066",
            "telephone_number": "208-855-2410",
            "fax_number": "208-855-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 W RIFLEMAN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049066",
            "telephone_number": "208-855-2410",
            "fax_number": "208-855-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSINGER",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "10341",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-9364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061591",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807263700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.