Individual provider Active NPI

Keith F Hinnant

  • General Practice Dentistry
  • Goldsboro, NC
National Provider Identifier
1366533549
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6346 Issued in NC
Practice address
2603 Hospital Rd
Goldsboro, NC 27534-9424
Phone
(919) 735-2226
Fax
(919) 735-2960
NPI assigned
Sep 27, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6346 NC Primary

Addresses

Primary practice location

2603 Hospital Rd
Goldsboro, NC 27534-9424

Mailing address

2603 Hospital Rd
Goldsboro, NC 27534-9424
Phone (919) 735-2226

Other identifiers 1

IdentifierTypeStateIssuer
8990112MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150413000453 NC Order and Referring Only - General PracticePractitioner - General Practice 3072831627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6346NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hinnant Family Dentistry General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1366533549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 HOSPITAL RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349424",
            "telephone_number": "919-735-2226",
            "fax_number": "919-735-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 HOSPITAL RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349424",
            "telephone_number": "919-735-2226",
            "fax_number": "919-735-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINNANT",
        "first_name": "KEITH",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990112",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.