James A. Hissom

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024068-L Issued in PA

Practice address

2330 W 38TH St
Erie, PA 16506-4564

Phone

(814) 835-8300

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Kupniewski Dentistry PLLC

  • General Practice Dentistry
  • Erie, PA
  • NPI 1659264190
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306993381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064564",
            "telephone_number": "814-835-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064564",
            "telephone_number": "814-835-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISSOM",
        "first_name": "JAMES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024068-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # FOR UNITED CON",
            "identifier": "449685",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobbi Hines
• Joseph Harry Hines, MD
• Kerry Lee Hinkson, LMT
• Kimberly Ann Hinkson, RN
• Ann Hippely, LCSW
• Maggie Ho
• Hilary S Hobbs
• Lina Hoblos
• Autumn S Hodapp, PA-C
• Matthew J Hodas, CRNP

• General Practice Dentistry in Erie, PA
• Providers in Erie, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.