Individual provider Active NPI

Ronald Lynn Hammond, DDS

  • General Practice Dentistry
  • Decatur, IN
National Provider Identifier
1720133176
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007778 Issued in IN
Practice address
1020 Southampton Dr
Decatur, IN 46733-1049
Phone
(260) 724-8410
Fax
(260) 724-0474
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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 12007778 IN Primary

Addresses

Primary practice location

1020 Southampton Dr
Decatur, IN 46733-1049

Mailing address

1020 Southampton Dr
Decatur, IN 46733-1049
Phone (260) 724-8410

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

State licenses

LicenseStateTypeSpecialty
12007778INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Family Dentistry of Adams County LLC General Practice CurrentSince Jan 7, 2024 Accepting new patients

Locations

1020 Southampton Dr
Decatur, IN 46733
Phone (260) 724-8410

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1720133176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SOUTHAMPTON DR",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331049",
            "telephone_number": "260-724-8410",
            "fax_number": "260-724-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SOUTHAMPTON DR",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331049",
            "telephone_number": "260-724-8410",
            "fax_number": "260-724-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "RONALD",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.