Active NPI
Jacob Hamelburg, DMD
- Dentist
- Salem, MA
National Provider Identifier
1710739099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10001219
- Practice address
- 142A Canal St
Salem, MA 01970-4650 - Phone
- (781) 598-3700
- NPI assigned
- Apr 2, 2024
- 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 | DN10001219 | MA | Primary |
Addresses
Primary practice location
142A Canal St
Salem, MA 01970-4650
Mailing address
267 Humphrey St
Swampscott, MA 01907-2511
Phone (781) 910-7666
Other practice location 1
125 Main St
Peabody, MA 01960-5639
Phone (978) 532-1630
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradise Dental Associates, LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1710739099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 HUMPHREY ST",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "019072511",
"telephone_number": "781-910-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142A CANAL ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019704650",
"telephone_number": "781-598-3700"
}
],
"practiceLocations": [
{
"address_1": "125 Main St",
"address_purpose": "LOCATION",
"city": "Peabody",
"state": "MA",
"postal_code": "019605639",
"country_code": "US",
"telephone_number": "978-532-1630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMELBURG",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-02",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "MA",
"license": "DN10001219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.