Active NPI
Allen Daniel Hamers, DDS
- General Practice Dentistry
- Lebanon, PA
National Provider Identifier
1740380500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10651
- Practice address
- 1700 S. Lincoln Avenue
Vamc Dental Service N340
Lebanon, PA 17042 - Phone
- (717) 272-6621
- Fax
- (717) 228-6115
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10651 | MD | Primary |
Addresses
Primary practice location
1700 S. Lincoln Avenue
Vamc Dental Service N340
Lebanon, PA 17042
Mailing address
1700 S. Lincoln Avenue
Vamc Dental Service N340
Lebanon, PA 17042
Phone (717) 272-6621
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10651 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740380500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S. LINCOLN AVENUE",
"address_2": "VAMC DENTAL SERVICE N340",
"city": "LEBANON",
"state": "PA",
"postal_code": "17042",
"telephone_number": "717-272-6621",
"fax_number": "717-228-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S. LINCOLN AVENUE",
"address_2": "VAMC DENTAL SERVICE N340",
"city": "LEBANON",
"state": "PA",
"postal_code": "17042",
"telephone_number": "717-272-6621",
"fax_number": "717-228-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMERS",
"first_name": "ALLEN",
"middle_name": "DANIEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "10651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.