NPIMap

Organization Active NPI

Hillsdale Dental Association

  • Dentist
  • Hillsdale, MI
National Provider Identifier
1083779268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14720 17311 Issued in MI
Legal business name
HILLSDALE DENTAL ASSOCIATION
Practice address
1426 Hudson Rd
Hillsdale, MI 49242-8314
Phone
(517) 437-7339
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith A Jameson, D.D.S.NPI 1750446910
Title
President
Phone
(517) 437-7339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14720 17311 MI Primary

Addresses

Primary practice location

1426 Hudson Rd
Hillsdale, MI 49242-8314

Mailing address

1426 Hudson Rd
Hillsdale, MI 49242-8314
Phone (517) 437-7339

National Provider Directory

National Provider Directory

Locations

1426 Hudson Rd
Hillsdale, MI 49242
Phone (517) 437-7339

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083779268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 HUDSON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492428314",
            "telephone_number": "517-437-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 HUDSON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492428314",
            "telephone_number": "517-437-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSDALE DENTAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMESON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-437-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "14720  17311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.