Hatala Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

041662 Issued in NY

Legal business name

HATALA ORTHODONTICS PC

Practice address

165 Riversidedrive
Johnson City, NY 13790

Phone

(607) 644-9100

Fax

(607) 644-9113

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mark P Hatala, DDSNPI 1669559159

Title

Pres

Phone

(607) 644-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark P Hatala, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Johnson City, NY
  • NPI 1669559159
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295812782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 RIVERSIDE DRIVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13790",
            "telephone_number": "607-644-9100",
            "fax_number": "607-644-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 RIVERSIDEDRIVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13790",
            "telephone_number": "607-644-9100",
            "fax_number": "607-644-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATALA ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATALA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "607-644-9100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "041662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa M Harris, PH.D.
• Elizabeth M Harris
• Ronald P Harris, DO
• Melissa A Haskell
• Kevin Lee Hastings Jr., DO
• Mark P Hatala, DDS
• Raven Hathaway, FNP-BC
• Samantha Grace Hathaway, DO
• Jacqueline M Havriliak, CRNA
• Amy Marie Hawley, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.