John P. Hackett, MD, P.S.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00013897 Issued in WA

Legal business name

JOHN P. HACKETT, MD, P.S.

Practice address

1603 116TH Ave NE
Ste 112
Bellevue, WA 98004-3009

Phone

(425) 456-0709

Fax

(425) 456-0358

NPI assigned

Mar 24, 2008

Last updated

Mar 24, 2008By 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

Dr. John P. Hackett, MDNPI 1134184047

Title

President

Phone

(425) 456-0709

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, and the practitioner matching its NPPES authorized official.

• John P. Hackett, M.D.

  • Dermatology Physician
  • Bellevue, WA
  • NPI 1134184047
  Authorized official Same address or phone

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1346412905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 116TH AVE NE",
            "address_2": "STE 112",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043009",
            "telephone_number": "425-456-0709",
            "fax_number": "425-456-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 116TH AVE NE",
            "address_2": "STE 112",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043009",
            "telephone_number": "425-456-0709",
            "fax_number": "425-456-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. HACKETT, MD, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-456-0709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00013897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aji Kah Jobe, DH
• Valerija Jocic
• Johann Yi DDS PLLC (Bellevue Dental Care)
• Leslie Johannes, M.ED., LMFT
• John C. Brown, OD PS
• John S Walsh MD PLLC
• John Teasang Kim, DDS PLLC
• Frauke Dorothea John
• Janin Andaya John
• Ian Alan Johnsen, MSPT

• Dermatology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.