Active NPI
Lawrence Bruce Hiltz
- Prevention Professional
- Falmouth, MA
National Provider Identifier
1063096725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 1639219314
- Practice address
- 200 Ter Heun Dr
Falmouth, MA 02540-2525 - Phone
- (508) 540-6550
- NPI assigned
- May 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 1639219314 | MA | Primary |
Addresses
Primary practice location
200 Ter Heun Dr
Falmouth, MA 02540-2525
Mailing address
200 Ter Heun Dr
Falmouth, MA 02540-2525
Phone (508) 540-6550
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Health Information Exchange (HIE) | ||
| Other URL | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1639219314 | MA | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1063096725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TER HEUN DR",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402525",
"telephone_number": "508-540-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TER HEUN DR",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402525",
"telephone_number": "508-540-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILTZ",
"first_name": "LAWRENCE",
"middle_name": "BRUCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "MA",
"license": "1639219314",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MAIL",
"affiliation": "N",
"endpointDescription": "MAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMAIL",
"address_1": "200 Ter Heun Dr",
"city": "Falmouth",
"state": "MA",
"country_code": "US",
"postal_code": "025402525",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MAIL",
"affiliation": "N",
"endpointDescription": "MAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "MAIL",
"address_1": "200 Ter Heun Dr",
"city": "Falmouth",
"state": "MA",
"country_code": "US",
"postal_code": "025402525",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.