NPIMap

Organization Active NPI

Nathan J Hinckley DDS a Professional Dental Corporation

  • Endodontics
  • Redding, CA
National Provider Identifier
1861980419
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DDS102374 Issued in CA
Legal business name
NATHAN J HINCKLEY DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
384 Hartnell Ave Ste B
Redding, CA 96002-1884
Phone
(530) 223-3400
NPI assigned
Apr 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Dr. Nathan John Hinckley, DDSNPI 1083926992
Title
President
Phone
(405) 651-5889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DDS102374 CA Primary

Addresses

Primary practice location

384 Hartnell Ave Ste B
Redding, CA 96002-1884

Mailing address

384 Hartnell Ave Ste B
Redding, CA 96002-1884
Phone (530) 223-3400

National Provider Directory

National Provider Directory

Locations

384 Hartnell Ave
Ste B
Redding, CA 96002
Phone (530) 223-3400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1861980419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 HARTNELL AVE STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021884",
            "telephone_number": "530-223-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 HARTNELL AVE STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021884",
            "telephone_number": "530-223-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN J HINCKLEY DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "HINCKLEY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-651-5889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS102374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.