Active NPI
Bryan C Hiller, D.M.D, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Little Rock, AR
National Provider Identifier
1114115219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 03583
- Practice address
- 5100 Talley Rd
Ste 100
Little Rock, AR 72204-8032 - Phone
- (617) 780-7387
- NPI assigned
- Oct 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 03583 | NH | Primary |
Addresses
Primary practice location
5100 Talley Rd
Ste 100
Little Rock, AR 72204-8032
Mailing address
5100 Talley Rd.
Ste 100
Little Rock, AR 72204
Phone (617) 780-7387
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03583 | NH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1114115219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 TALLEY RD.",
"address_2": "STE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72204",
"telephone_number": "617-780-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 TALLEY RD",
"address_2": "STE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722048032",
"telephone_number": "617-780-7387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLER",
"first_name": "BRYAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.M.D, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-15",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NH",
"license": "03583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.