Active NPI
Susan Elizabeth Hinman, D.D.S
- Dentist
- Jacksonville, FL
National Provider Identifier
1760467047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901018873
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901018873 | MI | MD | Dentist |
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.