THANE C. HISAW DMD
NPI 1427180801
Dentist - Pediatric Dentistry in Greensboro, NC

Active since March 12, 2007
504 E CORNWALLIS DR, STE. #J, GREENSBORO, NC 27405(336) 378-1421(336) 273-5065 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Thane C. Hisaw Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THANE C. HISAW DMD (NPI 1427180801) is an individual pediatric dentistry provider in Greensboro, North Carolina, licensed in North Carolina (9058) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1427180801
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameTHANE C. HISAWCredential: DMD
Location Address504 E CORNWALLIS DR, STE. #JGreensboro, NC 27405-5679
Mailing Address504 E Cornwallis Dr, Ste. #jGreensboro, NC 27405-5679 · (336) 378-1421 · Fax (336) 273-5065
Fax(336) 273-5065
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJune 27, 2013
NPI 1427180801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NC · 9058
Definition
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.
504 E CORNWALLIS DR, Greensboro, NC 27405

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
504 E CORNWALLIS DR, STE. J
GREENSBORO, NC 27405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thane Hisaw's NPI number?

The NPI number for Thane Hisaw is 1427180801. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Thane Hisaw located?

Thane Hisaw practices at 504 E Cornwallis Dr Ste. #j, Greensboro, NC 27405. The listed phone number is (336) 378-1421.

What is Thane Hisaw's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Thane Hisaw accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Thane Hisaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thane Hisaw was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.