Individual provider Active NPI

John Eric Hammen, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Owensboro, KY
National Provider Identifier
1770546954
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8320 Issued in KY
Practice address
2816 Veach Rd
Owensboro, KY 42303-6295
Phone
(270) 926-6100
Fax
(270) 926-6195
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 8320 KY Primary
Dentist 122300000X 8320 KY

Addresses

Primary practice location

2816 Veach Rd
Owensboro, KY 42303-6295

Mailing address

2816 Veach Road
Owensboro, KY 42303-6295
Phone (270) 926-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20160830001487 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951451681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1770546954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 VEACH ROAD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036295",
            "telephone_number": "270-926-6100",
            "fax_number": "270-926-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 VEACH RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036295",
            "telephone_number": "270-926-6100",
            "fax_number": "270-926-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMEN",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "8320",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.