Individual provider Active NPI

Dana Marie Hackler, CNM

  • Midwife
  • Dallas, TX
National Provider Identifier
1881026334
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
662021 Issued in TX
Practice address
3611 Swiss Ave # 200
Dallas, TX 75204-6245
Phone
(214) 975-3937
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM1454 TX
Midwife 176B00000X 662021 TX Primary

Addresses

Primary practice location

3611 Swiss Ave # 200
Dallas, TX 75204-6245

Mailing address

9000 County Road 1108
Cleburne, TX 76033-8901
Phone (817) 517-3302

Other practice location 1

201 Walls Dr Ste 502
Cleburne, TX 76033-4006
Phone (817) 556-7777

Other identifiers 1

IdentifierTypeStateIssuer
1881026334OtherTXMIDWIFE

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
662021TXMDMidwife
CNM1454TXMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1881026334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 COUNTY ROAD 1108",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760338901",
            "telephone_number": "817-517-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SWISS AVE # 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046245",
            "telephone_number": "214-975-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Walls Dr Ste 502",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760334006",
            "country_code": "US",
            "telephone_number": "817-556-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKLER",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "CNM1454",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "662021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWIFE",
            "identifier": "1881026334",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.