Active NPI
Colin Kipp Hammon, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Eugene, OR
National Provider Identifier
1427071661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D6073
- Practice address
- 330 S Garden Way
Suite 140
Eugene, OR 97401 - Phone
- (541) 686-9750
- Fax
- (541) 485-5034
- NPI assigned
- Jul 26, 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D6073 | OR | Primary |
Addresses
Primary practice location
330 S Garden Way
Suite 140
Eugene, OR 97401
Mailing address
330 S Garden Way
Suite 140
Eugene, OR 97401
Phone (541) 686-9750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190003094 | Other | OR | PALMETTO |
| 212142 | Medicaid | OR |
Other names 1
- Colin Kipp Hammon
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1427071661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 S GARDEN WAY",
"address_2": "SUITE 140",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-686-9750",
"fax_number": "541-485-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S GARDEN WAY",
"address_2": "SUITE 140",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-686-9750",
"fax_number": "541-485-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMON",
"first_name": "COLIN",
"middle_name": "KIPP",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OR",
"license": "D6073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "190003094",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212142",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLIN",
"last_name": "HAMMON",
"middle_name": "KIPP",
"credential": "D.M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.