Charles Jefferson Hackett Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007688 Issued in VA

Practice address

1807 Libbie Ave Ste 100
Richmond, VA 23226-1837

Phone

(804) 288-9111

Fax

(804) 288-3759

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Charles J Hackett Jr DDS PC

  • General Practice Dentistry
  • Richmond, VA
  • NPI 1356408777
  NPD (past) Authorized official

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447219639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35072",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232350072",
            "telephone_number": "804-288-9111",
            "fax_number": "804-288-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 LIBBIE AVE STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261837",
            "telephone_number": "804-288-9111",
            "fax_number": "804-288-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "CHARLES",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly W. Haberlin, N.P.
• Alyssa Christine Habermann, MD
• Amos Q Habib
• Saima Zehra Habib, M.D.
• Karissa L Hackelton, MD
• Judeah Hackett
• Laurel Hackett, PT
• Lewis P Hackett, PH.D. LCP
• Mary Helen Hackney, M.D.
• Valerie Floretta Hackney

• General Practice Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.