Hagerstown Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HAGERSTOWN FAMILY DENTISTRY

Practice address

49 W Walnut St
Hagerstown, IN 47346-1543

Phone

(765) 489-5942

Fax

(765) 489-3052

NPI assigned

Sep 23, 2009

Last updated

Sep 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack A Rusch, DDS

Title

Dentist

Phone

(765) 489-5942

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Hacker

  • General Practice Dentistry
  • New Castle, IN
  • NPI 1558254896
  NPD (past)
• Kathryn Petry, DDS

  • General Practice Dentistry
  • Anderson, IN
  • NPI 1962664367
  NPD (past)

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1306170345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W WALNUT ST",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461543",
            "telephone_number": "765-489-5942",
            "fax_number": "765-489-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W WALNUT ST",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461543",
            "telephone_number": "765-489-5942",
            "fax_number": "765-489-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGERSTOWN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "RUSCH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "765-489-5942",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William P Cornils, DDS PC
• Culberson Ambulance Service, Inc.
• James B Gerni, DC, LAC
• Gray Funeral Home Inc (Culberson Funeral Home Inc)
• Guardian Home Care, Inc
• Hagerstown Spine and Rehab
• James L Harper, OD
• HCMH Diversified Management Corporation (Nettle Creek Neighborhood Pharmacy)
• James Michael Laboyteaux
• Kelly Lynn Landis, FNP

• Dental Clinic/Center in Hagerstown, IN
• Providers in Hagerstown, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.