Active NPI
Nathan Boyd Hammond, DDS
- Dentist
- Glendale, AZ
National Provider Identifier
1710048988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7058
- Practice address
- 5750 W Thunderbird Rd Ste F680
Glendale, AZ 85306-4693 - Phone
- (602) 942-3299
- NPI assigned
- Dec 12, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7058 | AZ | Primary |
Addresses
Primary practice location
5750 W Thunderbird Rd Ste F680
Glendale, AZ 85306-4693
Mailing address
17068 W. Saguaro LN.
Surprise, AZ 85388
Phone (623) 433-9858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150612001545 | AZ | Order and Referring Only - Dentist | 5294046538 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7058 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1710048988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17068 W. SAGUARO LN.",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "85388",
"telephone_number": "623-433-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 W THUNDERBIRD RD STE F680",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064693",
"telephone_number": "602-942-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "NATHAN",
"middle_name": "BOYD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "7058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.