Individual provider Active NPI

William Edward Hinsley Jr., D.M.D.

  • General Practice Dentistry
  • Stuart, FL
National Provider Identifier
1184834640
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN7165 Issued in FL
Practice address
1001 SE Ocean Blvd
Suite 107
Stuart, FL 34996-2511
Phone
(772) 287-0788
Fax
(772) 287-0916
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 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 DN7165 FL Primary

Addresses

Primary practice location

1001 SE Ocean Blvd
Suite 107
Stuart, FL 34996-2511

Mailing address

1001 SE Ocean Blvd
Suite 107
Stuart, FL 34996-2511
Phone (772) 287-0788

Other identifiers 1

IdentifierTypeStateIssuer
DN7165OtherFLLICENSE NUMBER

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

State licenses

LicenseStateTypeSpecialty
DN7165FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1184834640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE OCEAN BLVD",
            "address_2": "SUITE 107",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962511",
            "telephone_number": "772-287-0788",
            "fax_number": "772-287-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE OCEAN BLVD",
            "address_2": "SUITE 107",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962511",
            "telephone_number": "772-287-0788",
            "fax_number": "772-287-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSLEY",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DN7165",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.