Active NPI
Nadia El-Hillal, D.M.D.
- Dentist
- Phoenix, AZ
National Provider Identifier
1124435409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9021
- Practice address
- 2620 S 83Rd Ave Ste 104
Phoenix, AZ 85043-7203 - Phone
- (412) 607-5951
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9021 | AZ | Primary |
Addresses
Primary practice location
2620 S 83Rd Ave Ste 104
Phoenix, AZ 85043-7203
Mailing address
2402 E 5TH St Unit 1609
Tempe, AZ 85281-5156
Phone (412) 607-5951
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180403002575 | AZ | Order and Referring Only - Dentist | 0749542736 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9021 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1124435409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 E 5TH ST UNIT 1609",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852815156",
"telephone_number": "412-607-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 S 83RD AVE STE 104",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850437203",
"telephone_number": "412-607-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-HILLAL",
"first_name": "NADIA",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "9021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.