Individual provider Active NPI

Nathan Hacker

  • General Practice Dentistry
  • New Castle, IN
National Provider Identifier
1558254896
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12014744A Issued in IN
Practice address
340 Parkview Dr
New Castle, IN 47362-2945
Phone
(765) 529-7616
Fax
(765) 529-5676
NPI assigned
Jun 3, 2025
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12014744A IN Primary

Addresses

Primary practice location

340 Parkview Dr
New Castle, IN 47362-2945

Mailing address

340 Parkview Dr
New Castle, IN 47362-2945
Phone (765) 529-7616

Other practice location 1

49 W Walnut St
Hagerstown, IN 47346-1543
Phone (765) 489-5942

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

LicenseStateTypeSpecialty
12014744AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
96TH Street Family Dentistry LLC General Practice CurrentSince Jun 8, 2025 Accepting new patients
Hagerstown Family Dentistry Past Accepting new patients
Parkview Family Dentistry PC PastSince Jun 8, 2025 Accepting new patients

Locations

340 Parkview Dr
New Castle, IN 47362
Phone (765) 529-7616

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1558254896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PARKVIEW DR",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622945",
            "telephone_number": "765-529-7616",
            "fax_number": "765-529-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PARKVIEW DR",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622945",
            "telephone_number": "765-529-7616",
            "fax_number": "765-529-5676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 W Walnut St",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "IN",
            "postal_code": "473461543",
            "country_code": "US",
            "telephone_number": "765-489-5942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKER",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014744A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.