Individual provider Active NPI

Thomas Irving Hatch, DDS

  • General Practice Dentistry
  • Reedsburg, WI
National Provider Identifier
1093783359
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001022 Issued in WI
Practice address
208 N Locust St
Reedsburg, WI 53959-1642
Phone
(608) 524-4775
Fax
(608) 524-8268
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 5001022 WI Primary

Addresses

Primary practice location

208 N Locust St
Reedsburg, WI 53959-1642

Mailing address

208 N Locust St
PO Box 228
Reedsburg, WI 53959-0228
Phone (608) 524-4775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160603001183 WI Order and Referring Only - DentistPractitioner - Dentist 4789974718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5001022WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093783359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N LOCUST ST",
            "address_2": "PO BOX 228",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539590228",
            "telephone_number": "608-524-4775",
            "fax_number": "608-524-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N LOCUST ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591642",
            "telephone_number": "608-524-4775",
            "fax_number": "608-524-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "THOMAS",
        "middle_name": "IRVING",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.