Active NPI
David Sidney Hatch, DMD
- General Practice Dentistry
- Salem, OR
National Provider Identifier
1518079706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5512
- Practice address
- 2300 Lancaster Dr NE
Salem, OR 97305-1223 - Phone
- (503) 370-4843
- Fax
- (503) 375-5737
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 5512 | OR | Primary |
Addresses
Primary practice location
2300 Lancaster Dr NE
Salem, OR 97305-1223
Mailing address
8410 SW Curry Dr
Unit C
Wilsonville, OR 97070-7885
Phone (503) 694-1077
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5512 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518079706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8410 SW CURRY DR",
"address_2": "UNIT C",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970707885",
"telephone_number": "503-694-1077",
"fax_number": "503-375-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973051223",
"telephone_number": "503-370-4843",
"fax_number": "503-375-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "DAVID",
"middle_name": "SIDNEY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "5512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.