Fahed Basem Hishmeh, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7403 Issued in KY

Practice address

650 N Main St
Monticello, KY 42633-1536

Phone

(606) 348-5100

Fax

(606) 348-4849

NPI assigned

Jul 27, 2006

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gentle Care Family Dentistry

  • Dentist
  • Monticello, KY
  • NPI 1437453552
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1811911480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331536",
            "telephone_number": "606-348-5100",
            "fax_number": "606-348-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331536",
            "telephone_number": "606-348-5100",
            "fax_number": "606-348-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISHMEH",
        "first_name": "FAHED",
        "middle_name": "BASEM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIOR AUTH.# FOR MEDICAID",
            "identifier": "45003571",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000098",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matt J Hesse, O.D.
• Hicks Enterprises of Monticello, LLC (Hicks Golden Years Nursing Home)
• Derek Hicks
• Jason T Hicks, APRN, LCSW
• Susan Agee Hicks, LPCA
• Horizon Adult Health Care LLC
• Keisha C Hubbs, LPCC
• Jill M Hughes, LCSW
• Brandy Jackson, APRN
• James H. Sawyer, O.D., P.S.C.

• General Practice Dentistry in Monticello, KY
• Providers in Monticello, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.