NPIMap

Organization Active NPI

Hammond Dental Group LLC

  • Dentist
  • Hammond, IN
National Provider Identifier
1770928509
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011898A Issued in IN
Legal business name
HAMMOND DENTAL GROUP LLC
Practice address
6414 Calumet Ave
Hammond, IN 46324
Phone
(219) 595-9566
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Ian William Hoffman, D.D.S.
Title
President
Phone
(219) 595-9566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12011898A IN Primary

Addresses

Primary practice location

6414 Calumet Ave
Hammond, IN 46324

Mailing address

6414 Calumet Ave
Hammond, IN 46324
Phone (219) 595-9566

National Provider Directory

National Provider Directory
Tax ID family
Hammond Dental Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1770928509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 CALUMET AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "46324",
            "telephone_number": "219-595-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 CALUMET AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "46324",
            "telephone_number": "219-595-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-595-9566",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011898A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.