Active NPI
Preston Garrett Hines, DMD
- Dentist
- Boone, NC
National Provider Identifier
1336868405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12867
- Practice address
- 717 Greenway Rd Ste D
Boone, NC 28607-4991 - Phone
- (828) 264-2381
- NPI assigned
- Aug 23, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12867 | NC | Primary |
Addresses
Primary practice location
717 Greenway Rd Ste D
Boone, NC 28607-4991
Mailing address
347 Puddingstone Pkwy
Banner Elk, NC 28604-7303
Other practice location 1
108 Doctors Dr
Boone, NC 28607-5000
Phone (828) 262-3886
Other practice location 2
504 Pineola St
Newland, NC 28657-7604
Phone (828) 742-1018
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12867 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1336868405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 PUDDINGSTONE PKWY",
"city": "BANNER ELK",
"state": "NC",
"postal_code": "286047303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 GREENWAY RD STE D",
"city": "BOONE",
"state": "NC",
"postal_code": "286074991",
"telephone_number": "828-264-2381"
}
],
"practiceLocations": [
{
"address_1": "108 Doctors Dr",
"address_purpose": "LOCATION",
"city": "Boone",
"state": "NC",
"postal_code": "286075000",
"country_code": "US",
"telephone_number": "828-262-3886",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "504 Pineola St",
"address_purpose": "LOCATION",
"city": "Newland",
"state": "NC",
"postal_code": "286577604",
"country_code": "US",
"telephone_number": "828-742-1018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINES",
"first_name": "PRESTON",
"middle_name": "GARRETT",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-23",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.