Active NPI
William L Hines, MD
- Ophthalmology Physician
- Denver, CO
National Provider Identifier
1356349369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 19133
- Practice address
- 2480 S Downing St
G-30
Denver, CO 80210-5890 - Phone
- (303) 777-3277
- Fax
- (303) 698-9713
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 19133 | CO | Primary |
Addresses
Primary practice location
2480 S Downing St
G-30
Denver, CO 80210-5890
Mailing address
2480 S Downing St
G-30
Denver, CO 80210-5890
Phone (303) 777-3277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01191337 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19133 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1356349369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 S DOWNING ST",
"address_2": "G-30",
"city": "DENVER",
"state": "CO",
"postal_code": "802105890",
"telephone_number": "303-777-3277",
"fax_number": "303-698-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 S DOWNING ST",
"address_2": "G-30",
"city": "DENVER",
"state": "CO",
"postal_code": "802105890",
"telephone_number": "303-777-3277",
"fax_number": "303-698-9713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "WILLIAM",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "19133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01191337",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.