NPIMap

Organization Active NPI

Nathan J. Hawk, DMD, PC

  • Dentist
  • Danville, IN
National Provider Identifier
1609112028
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011185A Issued in IN
Legal business name
NATHAN J. HAWK, DMD, PC
Practice address
2166 E Main St
Danville, IN 46122-9082
Phone
(317) 745-7711
NPI assigned
Dec 13, 2012
Last updated
Dec 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Karen Beaty
Title
Office Manager
Phone
(317) 745-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011185A IN Primary

Addresses

Primary practice location

2166 E Main St
Danville, IN 46122-9082

Mailing address

2166 E Main St
Danville, IN 46122-9082

National Provider Directory

National Provider Directory

Locations

2166 E Main St
Danville, IN 46122
Phone (317) 745-7711

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1609112028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229082",
            "telephone_number": "317-745-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN J. HAWK, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-745-7711"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011185A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.