Guy Brian Hisrich, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19176 Issued in OH

Practice address

4264 Fulton Dr NW
Canton, OH 44718-2822

Phone

(330) 493-8400

Fax

(330) 493-9500

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639184088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4264 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182822",
            "telephone_number": "330-493-8400",
            "fax_number": "330-493-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4264 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182822",
            "telephone_number": "330-493-8400",
            "fax_number": "330-493-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISRICH",
        "first_name": "GUY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Aurora Hinkel, COTA
• Stephen J. Hinton
• Jennifer Hiploylee, M.D.
• Chelsae Hipp, CT 1500102
• Steven C Hirsch, M.D.
• Rita Hissner, LPN
• Samuel L Hissong, MD
• Nicole Grace Hitchings
• Kristen Rachael Hites, LPN
• Wendy E Hixenbaugh

• Dentist in Canton, OH
• Providers in Canton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.