Hite Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HITE FAMILY DENTISTRY LLC

Practice address

1427 Lewis Rd
Edwardsville, IL 62025-4148

Phone

(618) 656-9123

Fax

(618) 656-9245

NPI assigned

Nov 2, 2023

Last updated

May 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Hite, DMDNPI 1831354257

Title

Owner

Phone

(618) 656-9123

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Hite

  • General Practice Dentistry
  • Edwardsville, IL
  • NPI 1831354257
  NPD Authorized official

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1376316158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 LEWIS RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254148",
            "telephone_number": "618-656-9123",
            "fax_number": "618-656-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 LEWIS RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254148",
            "telephone_number": "618-656-9123",
            "fax_number": "618-656-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HITE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "HITE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-656-9123",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Hick, RN, SRNA
• Tracy Scott Hickam
• Highland Park CVS, L.L.C. (CVS Pharmacy #18059)
• Highland Park CVS, L.L.C. (CVS Pharmacy # 03259)
• Hipton Companies, LLC (Synergy HomeCare of Edwardsville)
• Benjamin Hite
• Jennifer A Hitt, MS, CCC-SLP
• Ryan Hoaglin
• Elise Hodges
• Mia Rose Hoeller

• General Practice Dentistry in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.