Individual provider Active NPI

Hillary Anne Kinney, DMD

  • Dentist
  • Boston, MA
National Provider Identifier
1174027007
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1858263 Issued in MA
Practice address
1 Kneeland St
Boston, MA 02111-1527
Phone
(617) 636-6515
NPI assigned
Mar 23, 2018
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1858263 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1 Kneeland St
Boston, MA 02111-1527

Mailing address

243 Bridge St Apt 1
Westbrook, ME 04092-3028
Phone (180) 255-8713

Other practice location 1

Penn Oral and Maxillofacial Surgery
South Pavilion, 4th Floor, 3400 Civic Center Bvld
Philadelphia, PA 19104
Phone (215) 662-7366

Other practice location 2

University of New England College of Dental Medicine
1 College Avenue
Portland, ME 04103
Phone (207) 221-4747

Other names 1

  • Hillary Creed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 18, 2025 through Nov 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1858263MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Associates, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hkinney54997@tuftsmedicine.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1174027007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 BRIDGE ST APT 1",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923028",
            "telephone_number": "180-255-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-6515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Penn Oral and Maxillofacial Surgery",
            "address_2": "South Pavilion, 4th Floor, 3400 Civic Center Bvld",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-662-7366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "University of New England College of Dental Medicine",
            "address_2": "1 College Avenue",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04103",
            "country_code": "US",
            "telephone_number": "207-221-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "HILLARY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858263",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "CREED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.