Active NPI
Michael B Hamilton, DDS
- Dentist
- Irving, TX
National Provider Identifier
1851412738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22734
- Practice address
- 1111 S Irving Heights Dr
Irving, TX 75060-6261 - Phone
- (972) 445-3600
- Fax
- (972) 785-1223
- NPI assigned
- Apr 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22734 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 22734 | TX |
Addresses
Primary practice location
1111 S Irving Heights Dr
Irving, TX 75060-6261
Mailing address
9090 Skillman St
Suite 200C
Dallas, TX 75243-8259
Phone (214) 342-5757
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1479404-11 | Medicaid | TX | |
| 1479404-06 | Medicaid | TX | |
| 1801946-01 | Medicaid | TX | |
| 1479404-03 | Medicaid | TX | |
| 1479404-07 | Medicaid | TX | |
| 1801946-02 | Medicaid | TX | |
| 1801946-03 | Medicaid | TX | |
| 1479404-05 | Medicaid | TX | |
| 1801946-04 | Medicaid | TX | |
| 1479404-04 | Medicaid | TX | |
| 1479404-09 | Medicaid | TX | |
| 1479404-10 | Medicaid | TX | |
| 1801946-05 | Medicaid | TX | |
| 1479404-01 | Medicaid | TX | |
| 1479404-08 | Medicaid | TX | |
| 1479404-12 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22734 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1851412738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9090 SKILLMAN ST",
"address_2": "SUITE 200C",
"city": "DALLAS",
"state": "TX",
"postal_code": "752438259",
"telephone_number": "214-342-5757",
"fax_number": "214-340-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S IRVING HEIGHTS DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750606261",
"telephone_number": "972-445-3600",
"fax_number": "972-785-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "MICHAEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22734",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22734",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-11",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-06",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801946-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-03",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-07",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801946-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801946-03",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-05",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801946-04",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-04",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-09",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-10",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801946-05",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-08",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1479404-12",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
- Adam Lowell Hamill, NP
- Hamilton County Hospital District (Avante Rehabilitation Center)
- Hamilton County Hospital District (The Eden of Las Colinas)
- Heather Hamilton
- Laura Anne Hamilton, CPHT
- Anna Lyn Hammer, MS
- Randall Hammer, O.T.
- Dana Leann Hammonds, COTA/L
- Madison Paige Hammonds
- Canella Kelly Hammons, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.