Individual provider Active NPI

Robert W Hymes, D.D.S.

  • Periodontics
  • San Diego, CA
National Provider Identifier
1073715967
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
25723 Issued in CA
Practice address
3330 3Rd Ave
Ste. 200
San Diego, CA 92103-5639
Phone
(619) 692-9060
Fax
(619) 692-9088
NPI assigned
Jun 3, 2007
Sex
Male
Sole proprietor
Yes

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
Periodontics 1223P0300X 25723 CA Primary

Addresses

Primary practice location

3330 3Rd Ave
Ste. 200
San Diego, CA 92103-5639

Mailing address

3330 3Rd Ave
Ste. 200
San Diego, CA 92103-5639
Phone (619) 692-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073715967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE",
            "address_2": "STE. 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-692-9060",
            "fax_number": "619-692-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE",
            "address_2": "STE. 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-692-9060",
            "fax_number": "619-692-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMES",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "25723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.