Active NPI
Daniel C Hambleton, M.D.
- Family Medicine Physician
- Hines, OR
National Provider Identifier
1801823174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD164756
- Practice address
- 635 Hwy 20 North
Suite # 4
Hines, OR 97738 - Phone
- (541) 573-3339
- Fax
- (541) 573-3366
- NPI assigned
- Jun 26, 2006
- Last updated
- Mar 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD164756 | OR | Primary |
Addresses
Primary practice location
635 Hwy 20 North
Suite # 4
Hines, OR 97738
Mailing address
635 Hwy 20 North
Suite # 4
Hines, OR 97738
Phone (541) 573-3339
Other practice location 1
500 W. Fort St.
# 111
Boise, ID 83702
Phone (208) 422-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220330001538 | ID | Order and Referring Only - Family Practice | 6507928116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1801823174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 HWY 20 NORTH",
"address_2": "SUITE # 4",
"city": "HINES",
"state": "OR",
"postal_code": "97738",
"telephone_number": "541-573-3339",
"fax_number": "541-573-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 HWY 20 NORTH",
"address_2": "SUITE # 4",
"city": "HINES",
"state": "OR",
"postal_code": "97738",
"telephone_number": "541-573-3339",
"fax_number": "541-573-3366"
}
],
"practiceLocations": [
{
"address_1": "500 W. Fort St.",
"address_2": "# 111",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "83702",
"country_code": "US",
"telephone_number": "208-422-1000",
"fax_number": "208-422-1319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMBLETON",
"first_name": "DANIEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD164756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hines, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.