NPIMap

Organization Active NPI

David W Hinkson DDS Periodontics Inc

  • Periodontics
  • Logan, UT
National Provider Identifier
1285836684
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
276618 Issued in UT
Legal business name
DAVID W HINKSON DDS PERIODONTICS INC
Practice address
150 E 200 N
Suite H
Logan, UT 84321
Phone
(435) 753-9470
Fax
(435) 755-3141
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. David Wayne Hinkson, DDS
Title
President
Phone
(435) 232-3466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 276618 UT Primary

Addresses

Primary practice location

150 E 200 N
Suite H
Logan, UT 84321

Mailing address

150 E 200 N
Suite H
Logan, UT 84321
Phone (435) 753-9470

National Provider Directory

National Provider Directory

Locations

150 E 200 N
Ste H
Logan, UT 84321
Phone (435) 753-9470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1285836684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 200 N",
            "address_2": "SUITE H",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84321",
            "telephone_number": "435-753-9470",
            "fax_number": "435-755-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 200 N",
            "address_2": "SUITE H",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84321",
            "telephone_number": "435-753-9470",
            "fax_number": "435-755-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W HINKSON DDS PERIODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "HINKSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-232-3466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "276618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.