Terry Lee Hamblen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5730 Issued in FL

Practice address

2320 W Bay Dr
Largo, FL 33770-1975

Phone

(727) 581-3726

Fax

(727) 586-1389

NPI assigned

Jul 16, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508883448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701975",
            "telephone_number": "727-581-3726",
            "fax_number": "727-586-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701975",
            "telephone_number": "727-581-3726",
            "fax_number": "727-586-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLEN",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "5730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS ID NUMBER",
            "identifier": "TIN 59-1622406",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Carlisle Haley, DDS
• David Hall
• Christopher Halleman, D.O.
• Jenna Halog
• Teresa Ann Hamatto, CRNP
• Keri Denise Hames
• Sherika A Hamilton
• Stephanie P Hamilton
• Hammer Innovative Healthcare, LLC
• Melodie Ann Hammer Wakefield, DC

• General Practice Dentistry in Largo, FL
• Providers in Largo, FL by specialty
• General Practice Dentistry in Florida

• 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.