Individual provider Active NPI

Jerry Robert Hynton, D.M.D

  • Pediatric Dentistry
  • Bradenton, FL
National Provider Identifier
1821157314
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN14053 Issued in FL
Practice address
2225 59TH St W
Suite a
Bradenton, FL 34209-7017
Phone
(941) 792-6641
Fax
(941) 792-3931
NPI assigned
Dec 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN14053 FL Primary

Addresses

Primary practice location

2225 59TH St W
Suite a
Bradenton, FL 34209-7017

Mailing address

2225 59TH St W
Suite a
Bradenton, FL 34209-7017
Phone (941) 792-6641

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

LicenseStateTypeSpecialty
DN14053FLMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821157314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 59TH ST W",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097017",
            "telephone_number": "941-792-6641",
            "fax_number": "941-792-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 59TH ST W",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097017",
            "telephone_number": "941-792-6641",
            "fax_number": "941-792-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNTON",
        "first_name": "JERRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN14053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.