Individual provider Active NPI

Harry Lamonte Habbel, DDS

  • General Practice Dentistry
  • Southampton, PA
National Provider Identifier
1558469494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-022868L Issued in PA
Practice address
57 Street Rd
Suite M
Southampton, PA 18966-3100
Phone
(215) 357-1180
Fax
(215) 357-1766
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS-022868L PA Primary

Addresses

Primary practice location

57 Street Rd
Suite M
Southampton, PA 18966-3100

Mailing address

57 Street Rd
Suite M
Southampton, PA 18966-3100
Phone (215) 357-1180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160323000098 PA Order and Referring Only - DentistPractitioner - Dentist 8820395668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-022868LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558469494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 STREET RD",
            "address_2": "SUITE M",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663100",
            "telephone_number": "215-357-1180",
            "fax_number": "215-357-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 STREET RD",
            "address_2": "SUITE M",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663100",
            "telephone_number": "215-357-1180",
            "fax_number": "215-357-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABBEL",
        "first_name": "HARRY",
        "middle_name": "LAMONTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-022868L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.