Individual provider Active NPI

Brian Hamilton, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Wesley Chapel, FL
National Provider Identifier
1477724706
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN16554 Issued in FL
Practice address
29164 Chapel Park Dr
Wesley Chapel, FL 33543-4404
Phone
(813) 991-6886
NPI assigned
Mar 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52780 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN16554 FL Primary

Addresses

Primary practice location

29164 Chapel Park Dr
Wesley Chapel, FL 33543-4404

Mailing address

29164 Chapel Park Dr
Wesley Chapel, FL 33543-4404
Phone (305) 206-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260112003801 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0345499513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52780NYMDGeneral Practice Dentistry
052780NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1477724706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29164 CHAPEL PARK DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434404",
            "telephone_number": "305-206-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29164 CHAPEL PARK DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434404",
            "telephone_number": "813-991-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "BRIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "52780",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.