Individual provider Active NPI

Rulon B. Hillam, DDS

  • Dentist
  • Westminster, CO
National Provider Identifier
1073636122
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00202407 Issued in CO
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

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
31825TXMDClinical Psychologist
DEN.00202407COMDDentist
DEN-DEN-LIC-7792MTMDDentist
5685033-9922UTMDDentist
6758NVMDPhysical 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.

Verify at the official NPI Registry.