Steven Joseph Hyten, DMD,MS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021.002165 Issued in IL

Practice address

1005 Plummer Dr
Suite a
Edwardsville, IL 62025-4702

Phone

(618) 656-3100

Fax

(618) 656-3146

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2014 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1508972340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PLUMMER DR",
            "address_2": "SUITE A",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254702",
            "telephone_number": "618-656-3100",
            "fax_number": "618-656-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PLUMMER DR",
            "address_2": "SUITE A",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254702",
            "telephone_number": "618-656-3100",
            "fax_number": "618-656-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYTEN",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DMD,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.025576",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021.002165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Hutchens
• Natalie J. Hutchison, O.D.
• HW Holdings
• David W Hyten, DMD
• Kenneth Charles Hyten
• Ican Clinic LLC
• Illinois Associates Psychiatry P C
• Jeannette Ineza
• Integrated Medical Group
• Integrated Medical Group LTD

• Oral and Maxillofacial Surgery (Dentist) in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.