Active NPI
Michelle Anne Hack, D.D.S.
- Endodontics
- Pasadena, MD
National Provider Identifier
1467763763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 14544
- Practice address
- 8221 Ritchie Hwy
Suite 201
Pasadena, MD 21122-3938 - Phone
- (443) 386-5647
- NPI assigned
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endodontics | 1223E0200X | 14544 | MD | Primary |
Addresses
Primary practice location
8221 Ritchie Hwy
Suite 201
Pasadena, MD 21122-3938
Mailing address
8221 Ritchie Hwy
Suite 201
Pasadena, MD 21122-3938
Phone (443) 386-5647
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 |
|---|---|---|---|
| 14544 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1467763763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8221 RITCHIE HWY",
"address_2": "SUITE 201",
"city": "PASADENA",
"state": "MD",
"postal_code": "211223938",
"telephone_number": "443-386-5647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 RITCHIE HWY",
"address_2": "SUITE 201",
"city": "PASADENA",
"state": "MD",
"postal_code": "211223938",
"telephone_number": "443-386-5647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACK",
"first_name": "MICHELLE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MD",
"license": "14544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.