Active NPI
Dr. Hugh D. Vice, D.D.S.,M.S.
- Dentist
- Hixson, TN
National Provider Identifier
1245523729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS4055
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440805 | Medicaid | TN | |
| 000338082B | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Hixson, TN
- NPI 1033370853
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.