Amanda M Hillis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2010012887 Issued in MO

Practice address

7421 Mexico Rd
Saint Peters, MO 63376-1369

Phone

(636) 970-7902

NPI assigned

May 4, 2010

Last updated

Oct 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1043538846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 REELFOOT LAKE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172934",
            "telephone_number": "701-226-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761369",
            "telephone_number": "636-970-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIS",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2010012887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Higdon, MA, BCBA, LBA
• Lacey M Higgins, PT
• Stephanie Higgins, MD
• Jeffrey M Hill, DMD
• Laquisha Hill
• Sandra Lee Hilltrupiano, OTL
• Jiggar Rashmikant Hindia, DO
• Sandeep Hindupur, M.D.
• Kendra Elizabeth Hines, LCSW, MSW
• Michael W Hines, D.C.

• Dentist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.