Individual provider Active NPI

David Wayne Hinkson, DDS

  • Periodontics
  • Smithfield, UT
National Provider Identifier
1912563586
Registry record updated May 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
276618 Issued in UT
Practice address
1189 S Main St
Smithfield, UT 84335-6764
Phone
(435) 563-3025
NPI assigned
May 19, 2019
Last updated
May 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 276618 UT Primary

Addresses

Primary practice location

1189 S Main St
Smithfield, UT 84335-6764

Mailing address

1776 Canyon Ridge Dr
North Logan, UT 84341-8313
Phone (435) 232-3466

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smithfielddentalcare@hotmail.com

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
276618UTMDPeriodontist

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": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1912563586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 CANYON RIDGE DR",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843418313",
            "telephone_number": "435-232-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 S MAIN ST",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843356764",
            "telephone_number": "435-563-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKSON",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "276618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smithfielddentalcare@hotmail.com",
            "affiliation": "N",
            "address_1": "1189 S Main St",
            "city": "Smithfield",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843356764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.