Active NPI
David Hamblin, DDS
- General Practice Dentistry
- Tempe, AZ
National Provider Identifier
1508952490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4093
- Practice address
- 3310 S McClintock Dr
Tempe, AZ 85282-5827 - Phone
- (480) 413-0200
- Fax
- (480) 413-1088
- NPI assigned
- Oct 5, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4093 | AZ | Primary |
Addresses
Primary practice location
3310 S McClintock Dr
Tempe, AZ 85282-5827
Mailing address
5422 W Thunderbird Rd
Ste 20
Glendale, AZ 85306-4717
Phone (480) 413-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170113001737 | AZ | Order and Referring Only - Dentist | 8729360300 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4093 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1508952490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5422 W THUNDERBIRD RD",
"address_2": "STE 20",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064717",
"telephone_number": "480-413-0200",
"fax_number": "480-413-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 S MCCLINTOCK DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825827",
"telephone_number": "480-413-0200",
"fax_number": "480-413-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMBLIN",
"first_name": "DAVID",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "4093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.