HILLARY J HOMBURG (NPI# 1114161940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114161940 |
| Entity Type | Individual |
| Full Name | HILLARY J HOMBURG |
| Credential | DDS |
| Practice Address |
6135 Sissonville Dr Charleston WV 25312-9444 |
| Mailing Address |
104 Alex Ln Charleston WV 25304-2952 |
| Practice Telephone | 3049841576 |
| Practice Fax Number | 3049841565 |
| Mailing Telephone | 3047342040 |
| Mailing Fax Number | 3047342047 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3870 | WV | Dental Providers |
| N | 122300000X | Dentist | 3970 | WV | Dental Providers |
| N | 122300000X | Dentist | IN PROCESS | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810018626 | 05 |
| Street Address |
6135 SISSONVILLE DR |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25312-9444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881749380 | Nafiseh F. Woodard | Family Medicine | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2007-01-24 |
| 1912411349 | Joshua Earl Carter | Psychologist | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2017-11-21 |
| 1871018168 | Heidi Bissell | Nurse Practitioner | 6135 Sissonville Dr, Charleston, WV 25312 | 2017-08-08 |
| 1326584897 | Brenna Ross | Pharmacist | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2017-01-09 |
| 1851843965 | Cabin Creek Health Center Inc | Pharmacy | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2016-10-25 |
| 1437547361 | Isaac Ashley | Family Medicine | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2014-12-30 |
| 1861793358 | Shana F Wandling | Nurse Practitioner | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2010-11-15 |
| 1184935330 | Emily Marie Selby-nelson | Psychologist | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2010-06-23 |
| 1790920122 | Donna M Burton | Nurse Practitioner | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2008-12-15 |
| 1295880938 | Jill Fields | Physician Assistant | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362391 | Ten Up Ministries, Inc | Counselor | 6697 Rocky Fork Road, Charleston, WV 25312 | 2018-07-05 |
| 1215443890 | Jodie Louise Carr | Technician | 52 Bayles Drive, Charleston, WV 25312 | 2017-12-19 |
| 1760886824 | First Settlement Physical Therapy | Physical Therapist | 6281 Sissonville Dr, Suite B, Charleston, WV 25312 | 2014-10-20 |
| 1790947000 | Gavin Neil Hogue | Preventive Medicine | 102 Patrick St, Charleston, WV 25312 | 2008-06-27 |
| 1942487822 | Kines Family Pharmacy Inc | Pharmacy | 6097 Sissonville Dr, Charleston, WV 25312 | 2008-01-23 |
| 1447336870 | Sissonville Dental Care Center | Dentist | 1086 Martins Branch Road, Charleston, WV 25312 | 2006-10-27 |
| 1497838981 | Philip Andrew Vicini | Dentist | 2018 Martins Branch Drive, Sissonville, WV 25312 | 2006-10-20 |
| 1487752085 | Charles Lester Smith | Dentist | 1501 7th Ave, Charleston, WV 25312 | 2006-09-20 |
| 1710085246 | Richard Duff Smith | Dentist | 1501 Seventh Avenue, Charleston, WV 25312 | 2006-09-20 |
| 1144337395 | Jon Christopher Smith | Dentist | 1501 Seventh Ave, Charleston, WV 25312 | 2006-08-24 |
| Find all providers in zip 25312 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342762 | Leonard James Cochrane IIi | Dentist | 150 Bee St Apt 706, Charleston, SC 29401-5706 | 2020-10-07 |
| 1275183998 | Kenan Hatem Hossino | Dentist | 415 Morris St Ste 101, Charleston, WV 25301-1840 | 2019-09-14 |
| 1649766213 | Michael Romani | Dentist | 92 Beaufain St Apt 5, Charleston, SC 29401-1986 | 2018-07-07 |
| 1174059836 | Ammons Dental By Design- James Island | Dentist | 1739 Maybank Hwy Ste B, Charleston, SC 29412-2103 | 2017-05-02 |
| 1194266072 | Ashley Rogers Albrecht | Dentist | 29 Bee St, Fourth Floor, Charleston, SC 29403 | 2017-03-13 |
| 1467991133 | Khaleila Brannon | Dentist | 1500 Parklawn Dr Unit 814, Charleston, SC 29414-8137 | 2017-02-15 |
| 1366995839 | Jan Meghan Baraczek | Dentist | 700 Rutledge Ave # A, Charleston, SC 29403-4145 | 2016-08-01 |
| 1083068811 | Andrew Zegeer | Dentist | 928 Chappell Rd, Charleston, WV 25304-2708 | 2016-04-18 |
| 1164803789 | Ana Gonzalez | Dentist | 670 Harbor Creek Pl, Charleston, SC 29412-3203 | 2015-06-10 |
| 1316326101 | Caleb Poston | Dentist | 2090 Charlie Hall Blvd Ste 100, Charleston, SC 29414-8200 | 2015-05-26 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25312 |
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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.