Andrea Hislop, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901022008 Issued in MI

Practice address

6785 Weddel St
Taylor, MI 48180-1922

Phone

(248) 320-1967

NPI assigned

Jun 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrea Hislop, DDS, PLLC

  dba Lepak Family Dentistry

  • Dental Clinic/Center
  • Commerce TWP, MI
  • NPI 1386302891
  NPD

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1578914651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 WEDDEL ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801922",
            "telephone_number": "248-320-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 WEDDEL ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801922",
            "telephone_number": "248-320-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISLOP",
        "first_name": "ANDREA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Aminita Hicks-Reed, LPN
• Forrest Hill
• Nicholas Hill, LMSW
• Betina Hinckel, M.D.
• Brandie J Hinson
• Chandler Marie Hodgkin, M.A., SLP
• Barbara Louise Holland, RN
• Katherine Holmes
• Homecair Medical Equipment Inc
• Homeward Bound Home Care Services

• Dentist in Taylor, MI
• Providers in Taylor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.