Active NPI
Jason Bruce Hatch
- Dentist
- Hutchinson, KS
National Provider Identifier
1902184211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61233
- Practice address
- 2411 N Main St
Hutchinson, KS 67502-3638 - Phone
- (620) 665-5582
- Fax
- (620) 665-6073
- NPI assigned
- Aug 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6093 | NV | |
| Dentist | 122300000X | 61233 | KS | Primary |
Addresses
Primary practice location
2411 N Main St
Hutchinson, KS 67502-3638
Mailing address
2411 N Main St
Hutchinson, KS 67502-3638
Phone (620) 665-5582
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61233 | KS | MD | Dentist |
| 6093 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John F. Dahm, D.D.S., P.a. | 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.
-
- Dental Clinic/Center
- Hutchinson, KS
- NPI 1265777064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1902184211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 N MAIN ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675023638",
"telephone_number": "620-665-5582",
"fax_number": "620-665-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 N MAIN ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675023638",
"telephone_number": "620-665-5582",
"fax_number": "620-665-6073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "JASON",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-03",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6093",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "61233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.