Individual provider Active NPI

Jeffrey R Hitchan, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cranberry TWP., PA
National Provider Identifier
1780677435
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS025725-L Issued in PA
Practice address
9130 Marshall Rd.
Suite 200
Cranberry TWP., PA 16066
Phone
(724) 779-7999
Fax
(724) 591-5391
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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 DS025725 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS025725-L PA Primary

Addresses

Primary practice location

9130 Marshall Rd.
Suite 200
Cranberry TWP., PA 16066

Mailing address

9130 Marshall Rd.
Suite 200
Cranberry TWP., PA 16066
Phone (724) 779-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081209000456 PA Practitioner - Oral Surgery 0244391209 Practice locations: Cranberry TWP, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS025725PAMDOral and Maxillofacial Surgery (Dentist)
DS025725-LPAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkpatrick Oral Facial and Implant Surgery, PC PastSince Oct 22, 2023 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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1780677435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 MARSHALL RD.",
            "address_2": "SUITE 200",
            "city": "CRANBERRY TWP.",
            "state": "PA",
            "postal_code": "16066",
            "telephone_number": "724-779-7999",
            "fax_number": "724-591-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 MARSHALL RD.",
            "address_2": "SUITE 200",
            "city": "CRANBERRY TWP.",
            "state": "PA",
            "postal_code": "16066",
            "telephone_number": "724-779-7999",
            "fax_number": "724-591-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITCHAN",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS025725",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS025725-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP., PA

Sources for this page

Verify at the official NPI Registry.