Active NPI
Sherif Hysa, DDS
- General Practice Dentistry
- Rock Hill, SC
National Provider Identifier
1811488588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10999
- Practice address
- 2685 Celanese Rd Ste 116
Rock Hill, SC 29732-2993 - Phone
- (803) 970-8060
- NPI assigned
- May 29, 2018
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10083 | SC | |
| General Practice Dentistry | 1223G0001X | 10999 | NC | Primary |
Addresses
Primary practice location
2685 Celanese Rd Ste 116
Rock Hill, SC 29732-2993
Mailing address
2120 Highland Knoll Dr
Charlotte, NC 28269-3574
Phone (252) 202-7573
Other practice location 1
1085 Lenoir Rhyne Blvd SE
Hickory, NC 28602-4331
Phone (252) 202-7573
Other practice location 2
1525 W W T Harris Blvd
Charlotte, NC 28262-8522
Phone (704) 427-0277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1811488588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 HIGHLAND KNOLL DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282693574",
"telephone_number": "252-202-7573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2685 CELANESE RD STE 116",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322993",
"telephone_number": "803-970-8060"
}
],
"practiceLocations": [
{
"address_1": "1085 Lenoir Rhyne Blvd SE",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286024331",
"country_code": "US",
"telephone_number": "252-202-7573",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1525 W W T Harris Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282628522",
"country_code": "US",
"telephone_number": "704-427-0277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYSA",
"first_name": "SHERIF",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "10083",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.