Individual provider Active NPI

Patrick Joseph Hachee, D.D.S.

  • General Practice Dentistry
  • Redlands, CA
National Provider Identifier
1053606079
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60434 Issued in CA
Practice address
506 W Colton Ave
Redlands, CA 92374-3054
Phone
(909) 792-9430
NPI assigned
Jun 17, 2011
Last updated
Jun 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60434 CA Primary

Addresses

Primary practice location

506 W Colton Ave
Redlands, CA 92374-3054

Mailing address

506 W Colton Ave
Redlands, CA 92374-3054
Phone (909) 792-9430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828002367 CA Order and Referring Only - DentistPractitioner - Dentist 1557677085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1053606079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W COLTON AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743054",
            "telephone_number": "909-792-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W COLTON AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743054",
            "telephone_number": "909-792-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACHEE",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.