Maria Hacker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12741 Issued in CT

Practice address

134 Montowese St
Branford, CT 06405-3987

Phone

(203) 488-7444

NPI assigned

Feb 19, 2019

Last updated

Dec 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Branford Dental Care Partnership

  • General Practice Dentistry
  • Branford, CT
  • NPI 1568794410
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1841756467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SEAVIEW AVE",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064055444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MONTOWESE ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053987",
            "telephone_number": "203-488-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 Middletown Ave",
            "address_purpose": "LOCATION",
            "city": "Northford",
            "state": "CT",
            "postal_code": "064721382",
            "country_code": "US",
            "telephone_number": "203-484-0456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Boylston St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022154302",
            "country_code": "US",
            "telephone_number": "617-267-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Durham Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064432674",
            "country_code": "US",
            "telephone_number": "203-433-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKER",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12741",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Ling Gu, PHD
• Louis Guerrera Jr., RN
• Terea Wooster Guimaraes, APRN
• Samantha Guleserian, PA-C
• Elizabeth Haas, MSW
• Robert M. Hacker, D.M.D
• Rebecca Hale, OTR/L
• Hamden Sleep Disorders Center LLC
• Amanda Surace Hanko, PSY.D.
• Harbor Health Services, Inc.

• General Practice Dentistry in Branford, CT
• Providers in Branford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.