Individual provider Active NPI

Bryan S Hilton, D.M.D.

  • General Practice Dentistry
  • Bethlehem, PA
National Provider Identifier
1992060933
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS043376 Issued in PA
Practice address
2223 Linden St Ste 102
Bethlehem, PA 18017-4806
Phone
(610) 691-6464
Fax
(610) 691-7137
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 201936 CO
General Practice Dentistry 1223G0001X DS043376 PA Primary

Addresses

Primary practice location

2223 Linden St Ste 102
Bethlehem, PA 18017-4806

Mailing address

1620 Easton Ave
Bethlehem, PA 18017-5137
Phone (610) 691-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150416000912 CO Order and Referring Only - DentistPractitioner - Dentist 6901124254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201936COMDGeneral Practice Dentistry
DS043376PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marcincin Family Dental General Practice CurrentSince Dec 1, 2022 Accepting new patients
Summit Dental, PLLC PastSince Jul 24, 2022 Accepting new patients

Locations

1620 Easton Ave
Bethlehem, PA 18017
Phone (610) 691-6464

2223 Linden St
Ste 102
Bethlehem, PA 18017
Phone (610) 691-6464

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1992060933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180175137",
            "telephone_number": "610-691-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 LINDEN ST STE 102",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174806",
            "telephone_number": "610-691-6464",
            "fax_number": "610-691-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILTON",
        "first_name": "BRYAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "201936",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.