Carl Adam Hambuch Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1779G Issued in WI

Practice address

300 9TH Ave W
Ashland, WI 54806

Phone

(715) 682-2733

Fax

(715) 682-0226

NPI assigned

Oct 17, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ashland Dental Clinic Inc

  • Dentist
  • Ashland, WI
  • NPI 1295743193
  NPD (past) Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1356530240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 9TH AVE W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-682-2733",
            "fax_number": "715-682-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 9TH AVE W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-682-2733",
            "fax_number": "715-682-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBUCH",
        "first_name": "CARL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1779G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33366500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorrie J Guski, COTA
• Holly H Hagstrom, LPC
• Susan M Halbe, FNP
• Lynn Marie Hall, APNP
• Amisha Hana Hamann, LPC-IT
• Sharon M. Hammond, MD
• James A Hamp, MD
• Sharon Handy, M.D.
• Meggan J Hanson
• Pamela M Hayward, NP

• Dentist in Ashland, WI
• Providers in Ashland, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.