Hillary Whipple DMD

Organization Active NPI General Practice Dentistry · Hailey, ID

NPI 1073995403 · NPPES record last updated Jun 22, 2015

Key facts

NPI
1073995403
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
4599 (ID)
Legal business name
HILLARY WHIPPLE DMD
Practice address
5 E Galena St
Hailey, ID 83333-8858
Phone
(208) 788-4591
NPI assigned
Jun 22, 2015
Organization subpart
No

Authorized official

Name
Hillary Whipple
Title
Owner/Dentist
Phone
(208) 788-4591

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

5 E Galena St
Hailey, ID 83333
Phone (208) 788-4591

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 4599 ID Yes

Addresses

Primary practice location

5 E Galena St
Hailey, ID 83333-8858

Mailing address

5 E Galena St
Hailey, ID 83333-8858
Phone (208) 788-4591

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 22, 2015.

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1073995403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E GALENA ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338858",
            "telephone_number": "208-788-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E GALENA ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338858",
            "telephone_number": "208-788-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLARY WHIPPLE DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-788-4591"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "4599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hailey, ID

All providers in Hailey, ID · General Practice Dentistry in Idaho

Sources for this page

Verify at the official NPI Registry.