Active NPI
William R Hyman, DDS MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- North Las Vegas, NV
National Provider Identifier
1700076601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- S3-373C
- Practice address
- 3896 N Martin Luther King Blvd
North Las Vegas, NV 89032 - Phone
- (702) 614-1792
- NPI assigned
- Jul 26, 2007
- Last updated
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 33781 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | S3-373C | NV | Primary |
Addresses
Primary practice location
3896 N Martin Luther King Blvd
North Las Vegas, NV 89032
Mailing address
15 Boulderback Dr
Henderson, NV 89012-7286
Phone (323) 401-1252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024002796 | CA | Order and Referring Only - Dentist | 1557717741 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33781 | CA | MD | Psychologist |
| S3-373C | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William R Hyman Dental Practice, Inc. | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Lee MLK Dental Group, PC | Past | Accepting new patients |
Locations
3533 W Beverly Blvd
Montebello, CA 90640
Phone (323) 726-8300
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Montebello, CA
- NPI 1811559107
-
dba Alexander Dental Group and Orthodontics
- General Practice Dentistry
- N Las Vegas, NV
- NPI 1952497984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1700076601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BOULDERBACK DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890127286",
"telephone_number": "323-401-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3896 N MARTIN LUTHER KING BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-614-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYMAN",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2023-06-20",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "33781",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NV",
"license": "S3-373C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.