Individual provider Active NPI

Hermann F. Hinze, DMD

  • Periodontics
  • Austin, TX
National Provider Identifier
1841253689
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22581 Issued in TX
Practice address
711 W 38TH St Ste G5
Austin, TX 78705-1134
Phone
(512) 453-1600
Fax
(512) 453-1503
NPI assigned
Apr 11, 2006
Last updated
Jul 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 22581 TX Primary

Addresses

Primary practice location

711 W 38TH St Ste G5
Austin, TX 78705-1134

Mailing address

711 W 38TH St Ste G5
Austin, TX 78705-1134
Phone (512) 453-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160323000132 TX Order and Referring Only - DentistPractitioner - Dentist 0547567380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Periodontics Periodontics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1841253689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE G5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051134",
            "telephone_number": "512-453-1600",
            "fax_number": "512-453-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE G5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051134",
            "telephone_number": "512-453-1600",
            "fax_number": "512-453-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZE",
        "first_name": "HERMANN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "22581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.