Active NPI
Paul C Hammaker, GENERAL DENTIST
- General Practice Dentistry
- Martinsburg, PA
National Provider Identifier
1356410005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS021195
- Practice address
- 300 S Market St
Martinsburg, PA 16662-1004 - Phone
- (814) 793-4475
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS021195 | PA | Primary |
Addresses
Primary practice location
300 S Market St
Martinsburg, PA 16662-1004
Mailing address
RR 1 Box 29
Martinsburg, PA 16662-9600
Phone (814) 793-3618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS021195 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1356410005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 29",
"city": "MARTINSBURG",
"state": "PA",
"postal_code": "166629600",
"telephone_number": "814-793-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S MARKET ST",
"city": "MARTINSBURG",
"state": "PA",
"postal_code": "166621004",
"telephone_number": "814-793-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMAKER",
"first_name": "PAUL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "GENERAL DENTIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS021195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.