J. Warren Hildreth Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4680 Issued in KS

Practice address

2046 N Oliver St
Wichita, KS 67208-2503

Phone

(316) 681-2425

Fax

(316) 681-0947

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dental Corner PA

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1134119779
  NPD (past) Authorized official
• Moundridge Dental Center Chartered

  • General Practice Dentistry
  • Moundridge, KS
  • NPI 1538469671
  NPD (past)
• J. Warren Hildreth, Jr DDS PC of Missouri

  • General Practice Dentistry
  • Mount Vernon, MO
  • NPI 1952403040
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124237268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5566 MAEFIELD DR STE B",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665479109",
            "telephone_number": "785-456-7083",
            "fax_number": "785-456-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672082503",
            "telephone_number": "316-681-2425",
            "fax_number": "316-681-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "J.",
        "middle_name": "WARREN",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "4680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellenette Mae Hiland, LCMFT
• James A Hild, D.O.
• Kerri Ann Hild, MD
• Macaela Lee Hild, PT
• Bethany Y Hildebrand, P.A.
• Sara A Hildreth, PA-C
• Richard Brian Hilgenfeld, M.D.
• Diane Hilger
• Mark A Hilger, M.D.
• Christopher Hilgert, MD

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Dentistry in Kansas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.