Individual provider Active NPI

Chet A Hymas, D.M.D.

  • General Practice Dentistry
  • Spokane Valley, WA
National Provider Identifier
1780870394
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-4078 Issued in ID
Practice address
420 N Evergreen Rd
Suite 400
Spokane Valley, WA 99216-0973
Phone
(509) 922-1360
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-4078 ID Primary

Addresses

Primary practice location

420 N Evergreen Rd
Suite 400
Spokane Valley, WA 99216-0973

Mailing address

420 N Evergreen Rd
Suite 400
Spokane Valley, WA 99216-0973
Phone (509) 922-1360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20160606002331 WA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4981994811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-4078IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brent M Williams DDS PS Past Accepting new patients
Chet Hymas, DMD, PLLC General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1780870394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N EVERGREEN RD",
            "address_2": "SUITE 400",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160973",
            "telephone_number": "509-922-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N EVERGREEN RD",
            "address_2": "SUITE 400",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160973",
            "telephone_number": "509-922-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMAS",
        "first_name": "CHET",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.