DR. JOHN MASON HACKENBERGER DDS
NPI 1790730406
Dentist - Oral and Maxillofacial Surgery in Warren, MI

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
29427 RYAN RD, WARREN, MI 48092(586) 755-9340(586) 755-1081 Get Directions Write a Review

NPPES record last updated: July 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Mason Hackenberger Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN MASON HACKENBERGER DDS (NPI 1790730406) is an individual oral and maxillofacial surgery provider in Warren, Michigan, licensed in Michigan (2901016237) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1989).

NPPES Registry Identity

NPI1790730406
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN MASON HACKENBERGERCredential: DDS
Location Address29427 RYAN RDWarren, MI 48092-2203
Mailing Address29425 Ryan RdWarren, MI 48092-2203 · (586) 755-9340 · Fax (586) 755-9341
Fax(586) 755-1081
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1989
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 24, 2009
NPI 1790730406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MI · 2901016237
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
29427 RYAN RD, Warren, MI 48092

Other Identifiers 3

Other970E07680MI · Blue Cross Pin
Medicare UPINU42356MI
Medicare ID-Type Unspecified0E0768005MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Mason Hackenberger Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486621786
PECOS Enrollment IDI20070730000120
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
29427 RYAN RD
WARREN, MI 48092
Dentist (Oral and Maxillofacial Pathology)
29427 RYAN RD
WARREN, MI 48092
Oral & Maxillofacial Surgery
29427 RYAN RD
WARREN, MI 48092
Oral & Maxillofacial Surgery
29427 RYAN RD
WARREN, MI 48092
Dentist (Oral and Maxillofacial Surgery)
29427 RYAN RD
WARREN, MI 48092
Oral & Maxillofacial Surgery
29427 RYAN RD
WARREN, MI 48092
Oral & Maxillofacial Surgery
29427 RYAN RD
WARREN, MI 48092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Hackenberger's NPI number?

The NPI number for John Hackenberger is 1790730406. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is John Hackenberger located?

John Hackenberger practices at 29427 Ryan Rd, Warren, MI 48092. The listed phone number is (586) 755-9340.

What is John Hackenberger's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Hackenberger enrolled in Medicare?

Yes. John Hackenberger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Hackenberger accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Alabama and 13 other insurers list John Hackenberger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Hackenberger was last updated on July 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.