Individual provider Active NPI

Ronald Norman Hinkel, DDS

  • Dentist
  • Lafayette, IN
National Provider Identifier
1780830893
Registry record updated Aug 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12007998A Issued in IN
Practice address
1435 Union St
Lafayette, IN 47904-2059
Phone
(765) 423-1551
Fax
(765) 423-1552
NPI assigned
Aug 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12007998A IN Primary

Addresses

Primary practice location

1435 Union St
Lafayette, IN 47904-2059

Mailing address

1435 Union St
Lafayette, IN 47904-2059
Phone (765) 423-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160218002207 IN Order and Referring Only - DentistPractitioner - Dentist 0941505531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12007998AINMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218240000000",
    "number": "1780830893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 UNION ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042059",
            "telephone_number": "765-423-1551",
            "fax_number": "765-423-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 UNION ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042059",
            "telephone_number": "765-423-1551",
            "fax_number": "765-423-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKEL",
        "first_name": "RONALD",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-09",
        "last_updated": "2008-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007998A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.