Steven Max Hillberry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1596 Issued in MT

Practice address

108 Tyler Way
Lolo, MT 59847

Phone

(406) 273-0490

Fax

(406) 273-7969

NPI assigned

Dec 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lolo Dental Clinic PC

  • General Practice Dentistry
  • Lolo, MT
  • NPI 1629133186
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154486611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "59847",
            "telephone_number": "406-273-0490",
            "fax_number": "406-273-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TYLER WAY",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "59847",
            "telephone_number": "406-273-0490",
            "fax_number": "406-273-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLBERRY",
        "first_name": "STEVEN",
        "middle_name": "MAX",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111979",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "5511012",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nieves Del Carmen Gonzalez, MA, LCPC
• Adam W Graham, P.A.
• Kathryn Rebecca Harlow, SWLC
• Heffernan Drug Inc (Lolo Drug)
• Corey Robert Heffernan, PHARM D.
• John Hoheim
• Tracy Ann Holland-Holter, A.P.R.N.
• Kathy Durbin Counseling PLLC
• Daniel Walter Kay, LMT
• Christen Keeney, FNP

• General Practice Dentistry in Lolo, MT
• Providers in Lolo, MT by specialty
• General Practice Dentistry in Montana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.