Individual provider Active NPI

Benjamin R Hiener, DDS

  • General Practice Dentistry
  • Shady Spring, WV
National Provider Identifier
1053409540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3728 Issued in WV
Practice address
479 Flat Top Rd.
Shady Spring, WV 25918
Phone
(304) 763-4665
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3728 WV Primary

Addresses

Primary practice location

479 Flat Top Rd.
Shady Spring, WV 25918

Mailing address

C 21 Cherrywood Terrace
Beaver, WV 25813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 29, 2015 through Apr 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3728WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Clay and Hiener Dentistry Partnership Past Accepting new patients
C Jeff Clay, D.D.S. Inc. General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053409540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C 21 CHERRYWOOD TERRACE",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "25813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 FLAT TOP RD.",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "25918",
            "telephone_number": "304-763-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIENER",
        "first_name": "BENJAMIN",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shady Spring, WV

Sources for this page

Verify at the official NPI Registry.