Active NPI
William Paisley Hines, DMD
- Oral and Maxillofacial Pathology Dentistry
- Lagrange, GA
National Provider Identifier
1811000268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 8424
- Practice address
- 1587 Vernon Rd
Lagrange, GA 30240-4146 - Phone
- (706) 884-2655
- Fax
- (706) 883-7670
- NPI assigned
- Aug 17, 2006
- Last updated
- Sep 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 8424 | GA | Primary |
Addresses
Primary practice location
1587 Vernon Rd
Lagrange, GA 30240-4146
Mailing address
1587 Vernon Rd
Lagrange, GA 30240-4146
Phone (706) 884-2655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000180496A | Medicaid | GA |
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)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Pathology Dentistry
- Lagrange, GA
- NPI 1942403795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1811000268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1587 VERNON RD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404146",
"telephone_number": "706-884-2655",
"fax_number": "706-883-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1587 VERNON RD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404146",
"telephone_number": "706-884-2655",
"fax_number": "706-883-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "WILLIAM",
"middle_name": "PAISLEY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "GA",
"license": "8424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000180496A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.