Organization Active NPI

Hecht Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Shippensburg, PA
National Provider Identifier
1316088222
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
HECHT ORAL AND MAXILLOFACIAL SURGERY
Practice address
127 Walnut Bottom Rd
Shippensburg, PA 17257-8131
Phone
(717) 530-1120
Fax
(717) 530-5184
NPI assigned
Feb 12, 2007
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Lynn McHenry
Title
Office Manager
Phone
(717) 530-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

127 Walnut Bottom Rd
Shippensburg, PA 17257-8131

Mailing address

127 Walnut Bottom Rd
Shippensburg, PA 17257-8131
Phone (717) 530-1120

Other identifiers 7

IdentifierTypeStateIssuer
332794OtherHEALTH AMERICA
0014332960003MedicaidPA
02534800OtherKEYSTONE HEALTH PLAN CENT
116673OtherUNITED CONCORDIA
02534800OtherCAPITAL BLUE CROSS
116673OtherHIGHMARK BLUE SHIELD
548740OtherAETNA US HEALTH CARE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2195155Hecht Oral and Maxillofacial Surgery PC127 Walnut Bottom Road, Shippensburg, PA 17257Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

Locations

25 Eastgate Dr
Carlisle, PA 17015
Phone (717) 249-7007

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1316088222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WALNUT BOTTOM RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578131",
            "telephone_number": "717-530-1120",
            "fax_number": "717-530-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WALNUT BOTTOM RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578131",
            "telephone_number": "717-530-1120",
            "fax_number": "717-530-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECHT ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "MCHENRY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-530-1120"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "332794",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014332960003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENT",
            "identifier": "02534800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "116673",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02534800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "116673",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH CARE",
            "identifier": "548740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shippensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.