Individual provider Active NPI

Chaim Hyman, DMD

  • Dentist
  • Brandon, FL
National Provider Identifier
1912051566
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16366 Issued in FL
Practice address
1327 Providence Rd
Brandon, FL 33511-4885
Phone
(813) 662-4848
Fax
(813) 315-6373
NPI assigned
Jan 22, 2007
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16366 FL Primary
General Practice Dentistry 1223G0001X 16925 FL

Addresses

Primary practice location

1327 Providence Rd
Brandon, FL 33511-4885

Mailing address

1327 Providence Rd
Brandon, FL 33511-4885
Phone (813) 662-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240103004488 FL Order and Referring Only - DentistPractitioner - Dentist 0648577353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16925FLMDGeneral Practice Dentistry
16366FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stein Dental Group General Practice 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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1912051566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 PROVIDENCE RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114885",
            "telephone_number": "813-662-4848",
            "fax_number": "813-315-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 PROVIDENCE RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114885",
            "telephone_number": "813-662-4848",
            "fax_number": "813-315-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMAN",
        "first_name": "CHAIM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "16366",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "16925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.