Alyssa Hillman Pinnock, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN17610 Issued in FL

Practice address

829 South Federal Hwy
Dania Beach, FL 33004-3212

Phone

(954) 925-2977

NPI assigned

Nov 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sunheart Dental

  • Dental Clinic/Center
  • Dania Beach, FL
  • NPI 1174916050
  NPD (past) Authorized official
• Daniel Nagler D.M.D.,PA

  • Periodontics
  • Dania Beach, FL
  • NPI 1861078073
  NPD (past)

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1003987157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 SW 5TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151024",
            "telephone_number": "954-294-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 SOUTH FEDERAL HWY",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330043212",
            "telephone_number": "954-925-2977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Woodcock Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328033509",
            "country_code": "US",
            "telephone_number": "407-792-1968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINNOCK",
        "first_name": "ALYSSA",
        "middle_name": "HILLMAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN17610",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076731000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Parente, PHYSICAL THERAPY
• Michelle Joanne Parente, P.T.
• Alexis Jenna Pena, MD
• Richard Idiel Perez, RBT
• Jeanette D. Campos Pham, ARNP
• Shoshanna Ellen Poznanski, RBT
• Premium Mobility LLC
• Diana Marie Price, OT, CHT
• Publix Super Markets Inc
• Juan Carlos Quintana

• Dentist in Dania Beach, FL
• Providers in Dania Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.