Miguel A Hipolito, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

46475 Issued in CA

Practice address

441 Joaquin Ave
San Leandro, CA 94577-4997

Phone

(510) 352-2632

Fax

(510) 352-5308

NPI assigned

Apr 24, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245459981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 JOAQUIN AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774997",
            "telephone_number": "510-352-2632",
            "fax_number": "510-352-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 JOAQUIN AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774997",
            "telephone_number": "510-352-2632",
            "fax_number": "510-352-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPOLITO",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• General Kemp Hilliard, MD MEDICAL DOCTOR
• Keisha Hines
• Adrian Douglas Hinman, M.D.
• Alisha Hinnes
• Justin Hinojoza
• Robert Holden Hirsch, DC
• Hively
• HJ Surgery Center Incorporated
• Tun Hla, D. D. S.
• Ho-Yin Li, MD, Inc

• Pediatric Dentistry in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Pediatric Dentistry in California

• 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.