Matthew Blake Hillstead, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9015161-9922 Issued in UT

Practice address

3105 W 5400 S
Taylorsville, UT 84129-2200

Phone

(801) 969-6236

Fax

(801) 966-4572

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP

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.

• Salt City Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Herriman, UT
  • NPI 1447004270
  NPD Authorized official
• Ut Specialty Dental Services, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Taylorsville, UT
  • NPI 1003656059
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1063709244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 W 5400 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292200",
            "telephone_number": "801-969-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W 5400 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292200",
            "telephone_number": "801-969-6236",
            "fax_number": "801-966-4572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 N 400 E",
            "address_purpose": "LOCATION",
            "city": "Price",
            "state": "UT",
            "postal_code": "845012537",
            "country_code": "US",
            "telephone_number": "435-637-2222",
            "fax_number": "435-637-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLSTEAD",
        "first_name": "MATTHEW",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "9015161-9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059339",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Hill
• Michael B Hill, DDS
• Pamela K Hill, LCSW
• Robert Hill
• Kristin Hillstead
• Mellissa Hinrichs
• Monica Hinz, DO
• Megan Hitchcock
• HMW Counseling
• Amanda L Ho, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.