Individual provider Active NPI

John Lee Hillsman, DDS

  • General Practice Dentistry
  • Black Mountain, NC
National Provider Identifier
1093899460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC2783 Issued in NC
Practice address
997 Old US 70
Suite C
Black Mountain, NC 28757
Phone
(828) 669-7205
Fax
(828) 669-1804
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC2783 NC Primary

Addresses

Primary practice location

997 Old US 70
Suite C
Black Mountain, NC 28757

Mailing address

997 Old US 70
Suite C
Black Mountain, NC 28757
Phone (828) 669-4119

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NC2783NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John L Hillsman DDS PA General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093899460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 OLD US 70",
            "address_2": "SUITE C",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "28757",
            "telephone_number": "828-669-4119",
            "fax_number": "828-669-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 OLD US 70",
            "address_2": "SUITE C",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "28757",
            "telephone_number": "828-669-7205",
            "fax_number": "828-669-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLSMAN",
        "first_name": "JOHN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC2783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.