Individual provider Active NPI

Dennis Alan Hise, DMD

  • General Practice Dentistry
  • Harrodsburg, KY
National Provider Identifier
1275699233
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4264 Issued in KY
Practice address
PO Box 104; 1028 North College St
Harrodsburg, KY 40330-0104
Phone
(859) 734-5437
Fax
(859) 715-0818
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4264 KY Primary

Addresses

Primary practice location

PO Box 104; 1028 North College St
Harrodsburg, KY 40330-0104

Mailing address

PO Box 104; 1028 North College St
Harrodsburg, KY 40330-0104
Phone (859) 734-5437

Other identifiers 2

IdentifierTypeStateIssuer
61-0975938OtherTAX ID #
60042645MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis Alan Hise, PSC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1275699233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104; 1028 NORTH COLLEGE ST",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403300104",
            "telephone_number": "859-734-5437",
            "fax_number": "859-715-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 104; 1028 NORTH COLLEGE ST",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403300104",
            "telephone_number": "859-734-5437",
            "fax_number": "859-715-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISE",
        "first_name": "DENNIS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "61-0975938",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60042645",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrodsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.