Allan L Hablutzel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5706 Issued in WA

Practice address

820 Pacific Ave., Suite 204
Bremerton, WA 98337

Phone

(360) 373-3515

Fax

(360) 373-2176

NPI assigned

Dec 27, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Allan L Hablutzel, DDS PLLC

  dba Pacific Ave Dental

  • Dental Clinic/Center
  • Bremerton, WA
  • NPI 1811589781
  NPD Authorized official
• Dr Allan Hablutzel

  • General Practice Dentistry
  • Bremerton, WA
  • NPI 1023123726
  NPD (past) Authorized official

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1659792265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PACIFIC AVE., SUITE 204",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98337",
            "telephone_number": "360-373-3515",
            "fax_number": "360-373-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PACIFIC AVE., SUITE 204",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98337",
            "telephone_number": "360-373-3515",
            "fax_number": "360-373-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABLUTZEL",
        "first_name": "ALLAN",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark William Gunion
• Alexis Gunzer
• Antonio Gutierrez, MD
• Dyane Guzman
• Stephen Arthur Habener, M.D., INC., P.S.
• Melissa Haffly
• Deborah L. Hagardt, CCC SLP
• Anna Noel Hager
• Janet E Hagler, RNFA
• Dakota Hain, LMT

• General Practice Dentistry in Bremerton, WA
• Providers in Bremerton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.

Verify at the official NPI Registry.