Hyrum Gregory Hatch, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

3704 Issued in AZ

Practice address

7350 S McClintock Dr
# 103
Tempe, AZ 85283-5006

Phone

(480) 838-3073

Fax

(480) 838-5504

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780707463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 S MCCLINTOCK DR",
            "address_2": "# 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835006",
            "telephone_number": "480-838-3073",
            "fax_number": "480-838-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 S MCCLINTOCK DR",
            "address_2": "# 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835006",
            "telephone_number": "480-838-3073",
            "fax_number": "480-838-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "HYRUM",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayat Ahmed Hashi, MD
• Megan Eileen Haslam, CCC-SLP
• Khalid Mutwakil Hassan
• Numan Redwan Hassan
• Jeremy Lee Hassler, ATC
• Kaylen Ashley Hatch
• Adonis Hatcher
• Hattrup Anesthesiology Consulting PLLC
• Mimi M Hauber
• Jessica Paige Hauser, MA, LPC

• Dentist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Dentist in Arizona

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.