Individual provider Active NPI

Katherine M Habbel, DDS

  • General Practice Dentistry
  • Southampton, PA
National Provider Identifier
1184286064
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042239 Issued in PA
Practice address
57 Street Rd Ste M
Southampton, PA 18966-3100
Phone
(215) 357-1180
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 DS042239 PA Primary

Addresses

Primary practice location

57 Street Rd Ste M
Southampton, PA 18966-3100

Mailing address

57 Street Rd Ste M
Southampton, PA 18966-3100
Phone (215) 357-1180

Other identifiers 1

IdentifierTypeStateIssuer
DS042239OtherPALICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.mysecurepractice.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS042239PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184286064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 STREET RD STE M",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663100",
            "telephone_number": "215-357-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 STREET RD STE M",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663100",
            "telephone_number": "215-357-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABBEL",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DS042239",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mysecurepractice.com",
            "affiliation": "N",
            "endpointDescription": "Secure URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "57 Street Rd Ste M",
            "city": "Southampton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189663100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.