Individual provider Active NPI

Dennis R Hill, M.D.

  • Specialist
  • Oakland, CA
National Provider Identifier
1003974346
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G17225 Issued in CA
Practice address
3012 Summit St
Suite 2675
Oakland, CA 94609-3480
Phone
(510) 869-8875
Fax
(510) 869-8882
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G17225 CA Primary

Addresses

Primary practice location

3012 Summit St
Suite 2675
Oakland, CA 94609-3480

Mailing address

3012 Summit St
Suite 2675
Oakland, CA 94609-3480
Phone (510) 869-8875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1003974346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 SUMMIT ST",
            "address_2": "SUITE 2675",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093480",
            "telephone_number": "510-869-8875",
            "fax_number": "510-869-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 SUMMIT ST",
            "address_2": "SUITE 2675",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093480",
            "telephone_number": "510-869-8875",
            "fax_number": "510-869-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DENNIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G17225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.