Organization Active NPI

John W. Hamilton DDS PC

  • Dentist
  • Williston, ND
National Provider Identifier
1487066908
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1547 Issued in ND
Legal business name
JOHN W. HAMILTON DDS PC
Practice address
2204 2ND Ave W
Suite 101
Williston, ND 58801-3485
Phone
(701) 774-8822
Fax
(701) 774-8823
NPI assigned
Jun 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Dr. John W. Hamilton, DDSNPI 1194891648
Title
President
Phone
(701) 774-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 1547 ND Primary

Addresses

Primary practice location

2204 2ND Ave W
Suite 101
Williston, ND 58801-3485

Mailing address

2204 2ND Ave W
Suite 101
Williston, ND 58801-3485
Phone (701) 774-8822

Other identifiers 1

IdentifierTypeStateIssuer
40596MedicaidND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1487066908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 2ND AVE W",
            "address_2": "SUITE 101",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013485",
            "telephone_number": "701-774-8822",
            "fax_number": "701-774-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 2ND AVE W",
            "address_2": "SUITE 101",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013485",
            "telephone_number": "701-774-8822",
            "fax_number": "701-774-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. HAMILTON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-774-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ND",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40596",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.