Individual provider Active NPI

Susan Elizabeth Hinman, D.D.S

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1760467047
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018873 Issued in MI
Practice address
2005 Knight Lane Attn: Medical Staff Services BLDG. H
Navy Medicine Support Command
Jacksonville, FL 32212-0140
Phone
(904) 542-7200
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2901018873 MI
Dentist 122300000X 2901018873 MI Primary

Addresses

Primary practice location

2005 Knight Lane Attn: Medical Staff Services BLDG. H
Navy Medicine Support Command
Jacksonville, FL 32212-0140

Mailing address

8955 Wood Rd
Bethesda, MD 20889-5628
Phone (301) 295-1831

Other practice location 1

915 N St SE Bldg 175
Washington, DC 20374-5162
Phone (202) 433-2610

Other practice location 2

8955 Wood Rd
Bethesda, MD 20889-0140
Phone (301) 295-1831

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
2901018873MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1760467047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 WOOD RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895628",
            "telephone_number": "301-295-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 KNIGHT LANE ATTN: MEDICAL STAFF SERVICES BLDG. H",
            "address_2": "NAVY MEDICINE SUPPORT COMMAND",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "904-542-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 N St SE Bldg 175",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "203745162",
            "country_code": "US",
            "telephone_number": "202-433-2610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8955 Wood Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890140",
            "country_code": "US",
            "telephone_number": "301-295-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINMAN",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901018873",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.