Active NPI
Lance Koji Hashimoto, DDS, MS
- Endodontics
- Brookfield, WI
National Provider Identifier
1821207655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 4054-015
- Practice address
- 16650 W Bluemound Rd
400
Brookfield, WI 53005-5920 - Phone
- (262) 782-2277
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 4054-015 | WI | Primary |
Addresses
Primary practice location
16650 W Bluemound Rd
400
Brookfield, WI 53005-5920
Mailing address
16515 Tia CT
Brookfield, WI 53005-1371
Phone (262) 510-7002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4054-015 | WI | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Endodontics LLC | Endodontics | Past | 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.
-
- Endodontics
- Brookfield, WI
- NPI 1770792293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821207655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16515 TIA CT",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530051371",
"telephone_number": "262-510-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16650 W BLUEMOUND RD",
"address_2": "400",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055920",
"telephone_number": "262-782-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASHIMOTO",
"first_name": "LANCE",
"middle_name": "KOJI",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WI",
"license": "4054-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.