Active NPI
Dwight A Hines II, M.D.
- Family Medicine Physician
- Grandview, TX
National Provider Identifier
1306801915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J5587
- Practice address
- 203 S 3Rd St
Grandview, TX 76050-2165 - Phone
- (817) 866-2100
- NPI assigned
- Apr 18, 2006
- Last updated
- Mar 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | J5587 | TX | |
| Family Medicine Physician | 207Q00000X | J5587 | TX | Primary |
Addresses
Primary practice location
203 S 3Rd St
Grandview, TX 76050-2165
Mailing address
203 S 3Rd St
Grandview, TX 76050-2165
Phone (817) 866-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115972504 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huguley Emergency Physicians, LLP | Emergency Medical Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Fort Worth, TX
- NPI 1346265071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1306801915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S 3RD ST",
"city": "GRANDVIEW",
"state": "TX",
"postal_code": "760502165",
"telephone_number": "817-866-2100",
"fax_number": "817-866-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S 3RD ST",
"city": "GRANDVIEW",
"state": "TX",
"postal_code": "760502165",
"telephone_number": "817-866-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "DWIGHT",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "J5587",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J5587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115972504",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grandview, TX
- Grandview Isd
- Grandview Resthome Assn (Grandview Nursing and Rehabilitation Center)
- Grandview Resthome Association, Inc., Grandview, Johnson County, Texas (Grandview Nursing Home)
- Michael Ray Grier, DDS
- Lessie Harlin Jr., APRN
- Kylee Joanne House, COTA
- Jody Rena Janek
- Margaret Anne Joachim, FNP
- Kandace R Collins DDS, PC (Grandview Dental)
- Elisabeth Nicole Krchmar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.