Uzma S. Hatia, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019027859 Issued in IL

Practice address

507 N Hershey Rd Ste D
Bloomington, IL 61704-3744

Phone

(309) 661-0197

Fax

(309) 663-0967

NPI assigned

Jan 9, 2009

Last updated

Jan 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Affordable Dentistry Today, PC

  dba Affordable Dentistry Today - Bloomington

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1598987067
  NPD (past)
• Dental Professionals of Illinois, P.C.

  dba Hershey Plaza Dental Care

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1285847541
  NPD (past)
• Dental Professionals of Illinois, P.C.

  dba Essington Family Dental Care

  • General Practice Dentistry
  • Joliet, IL
  • NPI 1528271889
  NPD (past)

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1073750287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N HERSHEY RD STE D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043744",
            "telephone_number": "309-661-0197",
            "fax_number": "309-663-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N HERSHEY RD STE D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043744",
            "telephone_number": "309-661-0197",
            "fax_number": "309-663-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATIA",
        "first_name": "UZMA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Hartke
• Kristen Hartwig, LCSW
• Sarah N Hartzold
• Shelby Lynn Harvey, LCPC
• Waheed Ul Hassan, MD
• Seth R. Hatlelid, PSY.D.
• Christina Hay, APRN
• Curtis J. Hayden, M.D.
• Adam L Hayes
• Ashlyn Hayes, RD, LD

• Dentist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.