Organization Active NPI

John L Hillsman DDS PA

  • General Practice Dentistry
  • Black Mountain, NC
National Provider Identifier
1124292602
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC2783 Issued in NC
Legal business name
JOHN L HILLSMAN DDS PA
Practice address
997 Old US 70
Suite C
Black Mountain, NC 28711-2941
Phone
(828) 669-7205
Fax
(828) 669-1804
NPI assigned
Apr 16, 2008
Organization subpart
Yes
Parent organization
JOHN L HILLSMAN DDS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. John Lee Hillsman, DDSNPI 1093899460
Title
President
Phone
(828) 669-7205

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NC2783 NC Primary

Addresses

Primary practice location

997 Old US 70
Suite C
Black Mountain, NC 28711-2941

Mailing address

997 Old US 70
Suite C
Black Mountain, NC 28711-2941
Phone (828) 669-7205

National Provider Directory

National Provider Directory
Part of
John L Hillsman DDS PA

Locations

997 Old US Hwy 70 W
Ste C
Black Mountain, NC 28711
Phone (828) 669-7205

Practitioners & affiliated clinicians

Practitioners 1

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": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1124292602",
    "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": "287112941",
            "telephone_number": "828-669-7205",
            "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": "287112941",
            "telephone_number": "828-669-7205",
            "fax_number": "828-669-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L HILLSMAN DDS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN L HILLSMAN DDS PA",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "HILLSMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-669-7205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Apr 16, 2008; 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.