Harold Eugene Hickam, DDS CERT OF ORTHODON

Primary specialty

DentistTaxonomy code 122300000X

License

8192 Issued in GA

Practice address

753 Carroll Street
Perry, GA 31069-3368

Phone

(478) 987-6522

Fax

(770) 234-5477

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Harold Eugene Hickam Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Harold E. Hickam, DDS, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Perry, GA
  • NPI 1336401546
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1033209150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 CARROLL STREET",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693368",
            "telephone_number": "478-987-6522",
            "fax_number": "770-234-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 CARROLL STREET",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693368",
            "telephone_number": "478-987-6522",
            "fax_number": "770-234-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKAM",
        "first_name": "HAROLD",
        "middle_name": "EUGENE",
        "credential": "DDS CERT OF ORTHODON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "8192",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "015639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAROLD",
            "last_name": "HICKAM",
            "middle_name": "EUGENE",
            "credential": "DDS PC PROF CORPORAT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Miranda Cadida Hayes
• Heart 2 Heart Health Care
• Steven T Heath
• Mary Kelly Hedgpeth, PHARM.D.
• Harley Henry
• Kimberly R Hickman, CNP
• Amanda High, LCSW
• Megan Hinman
• Vara Yvonne Hitchcock, ATC, LAT
• Sabrina Dawn Hobbs, RN, IBCLC

• Dentist in Perry, GA
• Providers in Perry, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.