Individual provider Active NPI

John Miller Hyson III, D.D.S.M.S.D.

  • Endodontics
  • Bel Air, MD
National Provider Identifier
1285737262
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7085 Issued in MD
Practice address
208 Fulford Ave
Bel Air, MD 21014
Phone
(410) 836-7800
Fax
(410) 776-2112
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7085 MD Primary

Addresses

Primary practice location

208 Fulford Ave
Bel Air, MD 21014

Mailing address

208 Fulford Ave
Bel Air, MD 21014-3814
Phone (410) 836-7800

Other identifiers 2

IdentifierTypeStateIssuer
953866OtherPAUNITED CONCORDIA
978980OtherPAUNITED CONCORDIA

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

State licenses

LicenseStateTypeSpecialty
7085MDMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
John M Hyson III D.D.S. P.a. Endodontics 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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1285737262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FULFORD AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143814",
            "telephone_number": "410-836-7800",
            "fax_number": "410-776-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FULFORD AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-836-7800",
            "fax_number": "410-776-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSON",
        "first_name": "JOHN",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "7085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "953866",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "978980",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.