Organization Active NPI

Dr. Hugh D. Vice, D.D.S.,M.S.

  • Dentist
  • Hixson, TN
National Provider Identifier
1245523729
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS4055 Issued in TN
Legal business name
DR. HUGH D. VICE, D.D.S.,M.S.
Practice address
5470 Hixson Pike Ste a
Hixson, TN 37343-3299
Phone
(423) 842-0165
Fax
(423) 842-7614
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Sandy Vice
Title
Office Manager
Phone
(423) 842-0165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS4055 TN Primary

Addresses

Primary practice location

5470 Hixson Pike Ste a
Hixson, TN 37343-3299

Mailing address

5470 Hixson Pike Ste a
Hixson, TN 37343-3299
Phone (423) 842-0165

Other identifiers 2

IdentifierTypeStateIssuer
5440805MedicaidTN
000338082BMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1245523729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 HIXSON PIKE STE A",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433299",
            "telephone_number": "423-842-0165",
            "fax_number": "423-842-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 HIXSON PIKE STE A",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433299",
            "telephone_number": "423-842-0165",
            "fax_number": "423-842-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HUGH D. VICE, D.D.S.,M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "VICE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-842-0165"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS4055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440805",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000338082B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.