Individual provider Active NPI

Anthony Hirschenberger, D.D.S.

  • General Practice Dentistry
  • Munster, IN
National Provider Identifier
1881728202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008581 Issued in IN
Practice address
9301 Calumet Ave
Suite 2a
Munster, IN 46321-2809
Phone
(219) 836-8316
Fax
(219) 836-8431
NPI assigned
Mar 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12008581 IN Primary

Addresses

Primary practice location

9301 Calumet Ave
Suite 2a
Munster, IN 46321-2809

Mailing address

9301 Calumet Ave
Suite 2a
Munster, IN 46321-2809
Phone (219) 836-8316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12008581INMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881728202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 CALUMET AVE",
            "address_2": "SUITE 2A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212809",
            "telephone_number": "219-836-8316",
            "fax_number": "219-836-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 CALUMET AVE",
            "address_2": "SUITE 2A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212809",
            "telephone_number": "219-836-8316",
            "fax_number": "219-836-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHENBERGER",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.