Individual provider Active NPI

Michael William Hull, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1508141839
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-023242 Issued in OH
Practice address
9157 Montgomery Rd
Suite 105
Cincinnati, OH 45242-7731
Phone
(513) 793-2611
Fax
(513) 793-9123
NPI assigned
Oct 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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 30-023242 OH Primary

Addresses

Primary practice location

9157 Montgomery Rd
Suite 105
Cincinnati, OH 45242-7731

Mailing address

9157 Montgomery Rd
Suite 105
Cincinnati, OH 45242-7731
Phone (513) 793-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150610002130 OH Order and Referring Only - DentistPractitioner - Dentist 4284955659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023242OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1508141839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9157 MONTGOMERY RD",
            "address_2": "SUITE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427731",
            "telephone_number": "513-793-2611",
            "fax_number": "513-793-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9157 MONTGOMERY RD",
            "address_2": "SUITE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427731",
            "telephone_number": "513-793-2611",
            "fax_number": "513-793-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.