Individual provider Active NPI

Michael J Hill, DDS

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1093907941
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7369 Issued in AZ
Practice address
2880 E Germann Rd
Suite 13
Chandler, AZ 85286-1410
Phone
(480) 782-1555
Fax
(480) 782-5111
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 7369 AZ Primary

Addresses

Primary practice location

2880 E Germann Rd
Suite 13
Chandler, AZ 85286-1410

Mailing address

2880 E Germann Rd
Suite 13
Chandler, AZ 85286-1410
Phone (480) 782-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170106001828 AZ Order and Referring Only - DentistPractitioner - Dentist 1355622291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7369AZMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1093907941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 E GERMANN RD",
            "address_2": "SUITE 13",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861410",
            "telephone_number": "480-782-1555",
            "fax_number": "480-782-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 E GERMANN RD",
            "address_2": "SUITE 13",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861410",
            "telephone_number": "480-782-1555",
            "fax_number": "480-782-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.