ERIC L HYDE (NPI# 1609888197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609888197 |
| Entity Type | Individual |
| Full Name | ERIC L HYDE |
| Credential | D.D.S. |
| Practice Address |
15487 Oak Ln Suite 200e Gulfport MS 39503-2664 |
| Practice Telephone | 2288323111 |
| Practice Fax Number | 2288323117 |
| Mailing Telephone | 2288323111 |
| Mailing Fax Number | 2288323117 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3330-05 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICAID GROUP NUMBER | 04472876 | 01 |
| MS | 03781882 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104033364 | Eric D. Hyde | Physical Therapist | 8929 Parallel Parway, Providence Medical Center-rehabilitation Department, Kansas City, KS 66112 | 2007-05-17 |
| 1033503073 | Eric Hyde | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2015-03-27 |
| Street Address |
15487 OAK LN SUITE 200E |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710327960 | Maegen Calhoun Mccabe | Dentist | 11280 E Taylor Rd, Suite B, Gulfport, MS 39503-4038 | 2013-07-02 |
| 1215280672 | Reggie H. Broom, D.m.d., P.a. | Dentist | 1635 E Pass Rd, Gulfport, MS 39507-3527 | 2012-10-23 |
| 1194004994 | Eric L. Hyde, Dds, Pllc | Dentist | 15236 Dedeaux Rd, Gulfport, MS 39503-3161 | 2011-08-10 |
| 1790851707 | Raymond Kimble Doty Jr. | Dentist | 1119 42nd Ave, Gulfport, MS 39501-2664 | 2006-11-28 |
| 1063588788 | Reggie Harris Broom | Dentist | 1635 E Pass Road, Gulfport, MS 39507 | 2006-11-27 |
| 1093262974 | Coastkids Pediatric Dentistry, Pllc | Dentist | 1635 E Pass Rd, Gulfport, MS 39507-3527 | 2016-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1871971101 | Katherine Curtis Windham | Dentist | 300 Hospital Dr Ste 3, Columbus, MS 39705-1921 | 2015-05-06 |
| 1740673797 | Emilee Peeples Milling | Dentist | 1855 Crane Ridge Dr Ste 2, Jackson, MS 39216-4944 | 2015-03-16 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1316216716 | Middleton & Belknap Pediatric Dentistry Pllc | Dentist | 6643 U S Highway 98, Hattiesburg, MS 39402-8442 | 2011-12-14 |
| 1013210624 | Pediatric Dental Group of Hattiesburg, Pllc | Dentist | 6643 Us Highway 98, Hattiesburg, MS 39402-8442 | 2010-12-21 |
| 1720213788 | Fesmire Dental Pllc | Dentist | 101 Avalon Ct, Suite C, Brandon, MS 39047-7641 | 2009-05-20 |
| 1740435668 | Drew Middleton, Dmd | Dentist | 163 Turtle Creek Dr, Suite 80, Hattiesburg, MS 39402-1284 | 2008-11-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.