Ralph Gregory Hysong, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7504 Issued in MD

Practice address

724 Cloverly St
Silver Spring, MD 20905-4161

Phone

(301) 384-6000

Fax

(301) 384-7421

NPI assigned

Aug 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hysong & Lepore PA

  dba Colesville Dentistry

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1639224181
  NPD (past) Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063525178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 CLOVERLY ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054161",
            "telephone_number": "301-384-6000",
            "fax_number": "301-384-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 CLOVERLY ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054161",
            "telephone_number": "301-384-6000",
            "fax_number": "301-384-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSONG",
        "first_name": "RALPH",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyman J. Grosberg, D.D.S., P.C.
• Dominique Hymes
• Takisha Hynson
• Kimberly Hypolite
• Hysong & Lepore PA (Colesville Dentistry)
• Amy Catherine Iadarola, CERTIFIED ROLFER
• Cara Iadarola, LCPAT, LCPC
• Mary Iannarone
• Maria Iapalucci
• Ib Dental V (IB Dental & Implant)

• General Practice Dentistry in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.