Diane Ingram Hines, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13470 Issued in MI

Practice address

12645 Gratiot Ave
Detroit, MI 48205-3952

Phone

(313) 527-1140

Fax

(313) 527-9022

NPI assigned

Nov 1, 2006

Sex

Female

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

State licenses

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.

• Diane I Hines DDS PC

  • Dental Clinic/Center
  • Southfield, MI
  • NPI 1730797556
  NPD Authorized official
• Gratiot Dental PC

  • Dentist
  • Detroit, MI
  • NPI 1073702478
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255418471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 CUMBERLAND WAY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482035501",
            "telephone_number": "313-892-8762",
            "fax_number": "313-557-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12645 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053952",
            "telephone_number": "313-527-1140",
            "fax_number": "313-527-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "DIANE",
        "middle_name": "INGRAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussam Nabil Hindi
• Shyran Jelene Hines-Fenderson, M.D.
• Aliya Courtney Hines, MD
• Ashley Hines
• Diane Hines
• Harmony Hines
• Kathleen Hines, BSSW,LBSW
• Michael Anthony Hines
• Patrick Hines, M.D.
• Rhonda Rochelle Hines

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• 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.