Active NPI
Rulon B. Hillam, DDS
- Dentist
- Westminster, CO
National Provider Identifier
1073636122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00202407
- Practice address
- 9920 Wadsworth Pkwy
Westminster, CO 80021-6847 - Phone
- (801) 369-0647
- Fax
- (801) 375-0397
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5685033-9922 | UT | |
| Dentist | 122300000X | 6758 | NV | |
| Dentist | 122300000X | DEN.00202407 | CO | Primary |
| Dentist | 122300000X | 1410 | WY | |
| Dentist | 122300000X | DEN-DEN-LIC-7792 | MT | |
| Dentist | 122300000X | 31825 | TX |
Addresses
Primary practice location
9920 Wadsworth Pkwy
Westminster, CO 80021-6847
Mailing address
9920 Wadsworth Pkwy
Westminster, CO 80021-6847
Phone (801) 369-0647
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31825 | TX | MD | Clinical Psychologist |
| DEN.00202407 | CO | MD | Dentist |
| DEN-DEN-LIC-7792 | MT | MD | Dentist |
| 5685033-9922 | UT | MD | Dentist |
| 6758 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1073636122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 WADSWORTH PKWY",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800216847",
"telephone_number": "801-369-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9920 WADSWORTH PKWY",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800216847",
"telephone_number": "801-369-0647",
"fax_number": "801-375-0397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLAM",
"first_name": "RULON",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "5685033-9922",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6758",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00202407",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "1410",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "DEN-DEN-LIC-7792",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31825",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.