Samuel G. Hinz

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

009929 Issued in WA

Practice address

5122 Olympic Dr NW Ste B106
Gig Harbor, WA 98335-1769

Phone

(253) 851-8880

Fax

(253) 858-2783

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 28, 2014 through Mar 28, 2028

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.

• Harbor Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Gig Harbor, WA
  • NPI 1902083108
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275698383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 OLYMPIC DR NW STE B106",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351769",
            "telephone_number": "253-851-8880",
            "fax_number": "253-858-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 OLYMPIC DR NW STE B106",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351769",
            "telephone_number": "253-851-8880",
            "fax_number": "253-858-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZ",
        "first_name": "SAMUEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "009929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Marie Hernandez Pollard
• Heron's Key
• Kari Suzanne Herrera, LMP
• Thomas M Herron, M.D.
• Claire Hickman, CDP
• Angelita Black Hiraldo, MSW
• Michele Marquet Hirsig
• Linda Hiser, OTR
• Busaba Hoegen
• Matthew Thompson Hoertkorn, D.O.

• Oral and Maxillofacial Surgery (Dentist) in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.