Adam James Hildebrandt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14726 Issued in MN

Practice address

580 Woodbury Dr Ste 300
Woodbury, MN 55125-4949

Phone

(651) 731-1010

NPI assigned

May 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woodbury Smiles Dentistry, PC

  • Dentist
  • Woodbury, MN
  • NPI 1548659824
  NPD (past)

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1043957038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 WOODBURY DR STE 300",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 WOODBURY DR STE 300",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254949",
            "telephone_number": "651-731-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRANDT",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "0",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "1111111111111",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "N",
            "affiliation": "N",
            "endpointDescription": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "580 Woodbury Dr Ste 300",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551254949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• HFB Therapy Services, LLC
• Ann M Hickson, O.D., M.S.
• Andrea Sue Hidlebaugh, MSW LICSW
• Silvia Higgs
• Michael Allan Hildahl, PT
• Erin R Hill, MS, CCC-SLP
• Gerald Hill, MD
• Matt Hill, DC
• Russell Hill, DPM
• Tyanna Hill

• General Practice Dentistry in Woodbury, MN
• Providers in Woodbury, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.