Individual provider Active NPI

Ty A Hinze, D.D.S.

  • Pediatric Dentistry
  • Frisco, TX
National Provider Identifier
1639364797
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
23186 Issued in TX
Practice address
8380 Warren Pkwy
Suite 400
Frisco, TX 75034-4198
Phone
(214) 387-0099
Fax
(214) 387-0104
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 23186 TX Primary

Addresses

Primary practice location

8380 Warren Pkwy
Suite 400
Frisco, TX 75034-4198

Mailing address

2300 Turning Leaf Lane
Plano, TX 75074
Phone (469) 441-2698

Other identifiers 1

IdentifierTypeStateIssuer
186595801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23186TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Dentistry for Kids Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1639364797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 TURNING LEAF LANE",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "469-441-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY",
            "address_2": "SUITE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344198",
            "telephone_number": "214-387-0099",
            "fax_number": "214-387-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZE",
        "first_name": "TY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186595801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.