Active NPI
Mistie E Norten-Hill, D.M.D.
- Dentist
- Crystal Lake, IL
National Provider Identifier
1942338736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 651 W Terra Cotta Ave
#111
Crystal Lake, IL 60014-3404 - Phone
- (815) 455-6933
- Fax
- (815) 455-6942
- NPI assigned
- Mar 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
651 W Terra Cotta Ave
#111
Crystal Lake, IL 60014-3404
Mailing address
651 W Terra Cotta Ave
#111
Crystal Lake, IL 60014-3404
Phone (815) 455-6933
Other names 1
- Dr. Mistie E Norten
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150212000495 | IL | Order and Referring Only - Oral Surgery | 8022333103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942338736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 W TERRA COTTA AVE",
"address_2": "#111",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143404",
"telephone_number": "815-455-6933",
"fax_number": "815-455-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 W TERRA COTTA AVE",
"address_2": "#111",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143404",
"telephone_number": "815-455-6933",
"fax_number": "815-455-6942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTEN-HILL",
"first_name": "MISTIE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTIE",
"last_name": "NORTEN",
"middle_name": "E",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
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- Northern Illinois Medical Center (Centegra Home Medical Equipment)
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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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.