OrganizationActive
Thane C. Hisaw, DMD, PA
NPI 1376983213 · Pediatric Dentistry · Greensboro, NC
Thane C. Hisaw, DMD, PA is a Pediatric Dentistry organization in Greensboro, NC (NPI 1376983213).
Provider details
- NPI number
- 1376983213
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Thane Hisaw, President(907) 315-6812
- License
- 9508 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
504 E Cornwallis Dr
Ste. J
Greensboro, NC 27405-5679
Phone: (336) 378-1421
Street-level locationGet directions
Mailing address
504 E Cornwallis Dr
Greensboro, NC 27405-5679
Registry dates
- Enumerated
- 2013-06-25
- Last updated
- 2013-06-27
Frequently asked questions
- What is Thane C. Hisaw, DMD, PA's NPI number?
- Thane C. Hisaw, DMD, PA's National Provider Identifier (NPI) is 1376983213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thane C. Hisaw, DMD, PA?
- Thane C. Hisaw, DMD, PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Thane C. Hisaw, DMD, PA located?
- Thane C. Hisaw, DMD, PA's practice location on file with NPPES is 504 E Cornwallis Dr, Greensboro, NC 27405-5679.
- What is Thane C. Hisaw, DMD, PA's phone number?
- The practice phone number listed in the NPPES registry for Thane C. Hisaw, DMD, PA is (336) 378-1421.
- Who is the authorized official for Thane C. Hisaw, DMD, PA?
- The authorized official listed on Thane C. Hisaw, DMD, PA's NPPES record is Thane Hisaw, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thane C. Hisaw, DMD, PA's NPI active?
- Yes — Thane C. Hisaw, DMD, PA's NPI (1376983213) is active in the NPPES registry as of the last update on 2013-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.