Active NPI
Shaylar Marcal Hatch, DMD
- Dentist
- Mesa, AZ
National Provider Identifier
1215331673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D06963
- Practice address
- 4135 S Power Rd Ste 101
Mesa, AZ 85212-3625 - Phone
- (480) 525-6000
- Fax
- (480) 525-6001
- NPI assigned
- Oct 14, 2014
- Last updated
- Oct 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D06963 | AZ | Primary |
Addresses
Primary practice location
4135 S Power Rd Ste 101
Mesa, AZ 85212-3625
Mailing address
4374 E Santa Fe CT
Gilbert, AZ 85297-7942
Phone (480) 353-7285
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
| License | State | Type | Specialty |
|---|---|---|---|
| D06963 | AZ | MD | Dentist |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Mesa, AZ
- NPI 1053491894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1215331673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4374 E SANTA FE CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852977942",
"telephone_number": "480-353-7285",
"fax_number": "480-525-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 S POWER RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852123625",
"telephone_number": "480-525-6000",
"fax_number": "480-525-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "SHAYLAR",
"middle_name": "MARCAL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-14",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D06963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.