MICHAEL J HACKEN (NPI# 1467917278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467917278 |
| Entity Type | Individual |
| Full Name | MICHAEL J HACKEN |
| Practice Address |
51565 Bittersweet Rd Granger IN 46530-8859 |
| Practice Telephone | 5742771211 |
| Practice Fax Number | 5742775812 |
| Mailing Telephone | 5742771211 |
| Mailing Fax Number | 5742775812 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12012903A | IN | Dental Providers |
| Street Address |
51565 BITTERSWEET RD |
| City | GRANGER |
| State | IN |
| Zip Code | 46530-8859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063436608 | James V Macri | Dentist | 51565 Bittersweet Road, Granger, IN 46530 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970036 | Sarah Buedel | Dentist | 900 Tutor Ln Ste 103, Evansville, IN 47715-7295 | 2020-10-18 |
| 1720695828 | Candid Indiana, P.C. | Dentist | 5 Washington St Fl 3, Valparaiso, IN 46383-4768 | 2020-09-23 |
| 1992357453 | Brace Yourself Orthodontics LLC | Dentist | 16329 State Road 23, South Bend, IN 46635-1457 | 2019-07-15 |
| 1417515255 | Mark Rex Rosenthall | Dentist | 3901 N Wheeling Ave, Muncie, IN 47304-1769 | 2019-06-05 |
| 1275190183 | Evan Randall Schmidt | Dentist | 3110 Willowcreek Rd, Portage, IN 46368-4424 | 2019-05-27 |
| 1508325879 | Rlm Orthodontics LLC | Dentist | 298 S 10th St Ste 100, Noblesville, IN 46060-2741 | 2019-03-17 |
| 1699234955 | Stonegate Orthodontics LLC | Dentist | 6857 W Stonegate Dr Ste B, Zionsville, IN 46077-8023 | 2019-03-17 |
| 1992290746 | Bbb of In, LLC | Dentist | 905 S College Mall Rd, Bloomington, IN 47401-6302 | 2018-06-25 |
| 1518456557 | Smile Doctors of Indiana, P.C. | Dentist | 1410 S Quail Run Rd, Vincennes, IN 47591-6845 | 2018-05-04 |
| 1508376708 | Glander Rochford Orthodontics, LLC | Dentist | 8445 S Emerson Ave Ste 102, Indianapolis, IN 46237-9597 | 2017-10-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.