John Wilmont Hamilton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1547 Issued in ND

Practice address

2204 2ND Ave W
Suite 101
Williston, ND 58801-3485

Phone

(701) 774-8822

Fax

(701) 774-8823

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• John W. Hamilton DDS PC

  • Dentist
  • Williston, ND
  • NPI 1487066908
  NPD (past) Authorized official

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194891648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 2ND AVE W",
            "address_2": "SUITE 101",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013485",
            "telephone_number": "701-774-8822",
            "fax_number": "701-774-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 2ND AVE W",
            "address_2": "SUITE 101",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013485",
            "telephone_number": "701-774-8822",
            "fax_number": "701-774-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JOHN",
        "middle_name": "WILMONT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40596",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Williston, ND
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.