Robin Hattervig, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5226 Issued in NE

Practice address

4000 E Campus Loop S
Lincoln, NE 68583-1530

Phone

(402) 472-8900

Fax

(402) 472-0048

NPI assigned

Jul 6, 2005

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• University Dental Associates

  • Dentist
  • Lincoln, NE
  • NPI 1780772301
  NPD (past)
• Horizon Health Care Inc

  dba Prairie Winds Dental

  • Federally Qualified Health Center (FQHC)
  • Howard, SD
  • NPI 1588773386
  NPD (past)

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1134126196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MINER ST",
            "city": "HOWARD",
            "state": "SD",
            "postal_code": "573490339",
            "telephone_number": "605-772-4682",
            "fax_number": "605-772-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E CAMPUS LOOP S",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685831530",
            "telephone_number": "402-472-8900",
            "fax_number": "402-472-0048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N Main St",
            "address_purpose": "LOCATION",
            "city": "Howard",
            "state": "SD",
            "postal_code": "573499021",
            "country_code": "US",
            "telephone_number": "605-772-4703",
            "fax_number": "605-772-4330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTERVIG",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "5226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Hatch
• Ethan Hatcher, LMT
• Miranda Hatcher
• Kari Hatcliff
• Gregory J Hattan, MD
• Brittany Hauck, PA-C
• Stephen James Haudrich, M.D.
• Amy Hauf
• Maxann Hauff
• Jennifer Hauptman

• Dentist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.