John L. Havlick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007779A Issued in IN

Practice address

1302 Vale Park Rd
Valparaiso, IN 46383-2722

Phone

(219) 462-0780

Fax

(219) 464-0229

NPI assigned

Jul 17, 2006

Last updated

Jul 8, 2007By 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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.havlick.p1@direct.northshorehealth.nextgenshare.com

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.

• Northshore Health Centers Inc

  dba NorthShore Regional Health Centers

  • Federally Qualified Health Center (FQHC)
  • Merrillville, IN
  • NPI 1114257300
  Medicare reassignment NPD
• Northshore Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1336992999
  NPD
• Northshore Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portage, IN
  • NPI 1407061336
  NPD
• Brad Wisowaty DDS LLC

  dba Modern Dentistry

  • Dental Clinic/Center
  • Valparaiso, IN
  • NPI 1609565910
  NPD (past)
• John L. Havlick, D.D.S.

  • General Practice Dentistry
  • Valparaiso, IN
  • NPI 1740454230
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306864442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 VALE PARK RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832722",
            "telephone_number": "219-462-0780",
            "fax_number": "219-464-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 VALE PARK RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832722",
            "telephone_number": "219-462-0780",
            "fax_number": "219-464-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVLICK",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007779A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hartman, BSTM/HIM
• Kristina Hartsell
• Maliya Julianna Harvey
• Joy Michelle Hatch, FNP-BC
• Michele Jeanne Hathoot, RPH
• Joel Hawkins, SLP
• Susan Hayes, A.T.C.
• Joshua David Hazelwood
• Heal & Blossom Counseling LLC
• Healtheaccess Clinics L.L.C.

• General Practice Dentistry in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.