Individual provider Active NPI

Douglas Earl Hinshaw, BS DDS

  • General Practice Dentistry
  • Sterling, KS
National Provider Identifier
1386648707
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5888 Issued in KS
Practice address
239 N Broadway Ave
Sterling, KS 67579-1916
Phone
(620) 278-2150
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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 5888 KS Primary

Addresses

Primary practice location

239 N Broadway Ave
Sterling, KS 67579-1916

Mailing address

239 N Broadway Ave
Sterling, KS 67579-1916
Phone (620) 278-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20160310001370 KS Order and Referring Only - DentistPractitioner - Dentist 4789876566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1386648707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N BROADWAY AVE",
            "city": "STERLING",
            "state": "KS",
            "postal_code": "675791916",
            "telephone_number": "620-278-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N BROADWAY AVE",
            "city": "STERLING",
            "state": "KS",
            "postal_code": "675791916",
            "telephone_number": "620-278-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSHAW",
        "first_name": "DOUGLAS",
        "middle_name": "EARL",
        "credential": "BS  DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, KS

Sources for this page

Verify at the official NPI Registry.