Individual provider Active NPI

Roger W. Hill, D.D.S., M.S., P.C.

  • Periodontics
  • Bay City, MI
National Provider Identifier
1184770919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901009844 Issued in MI
Practice address
916 Washington Ave Ste 230
Bay City, MI 48708-5765
Phone
(989) 892-0440
Fax
(989) 892-8490
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2901009844 MI Primary

Addresses

Primary practice location

916 Washington Ave Ste 230
Bay City, MI 48708-5765

Mailing address

916 Washington Ave Ste 230
Bay City, MI 48708-5765
Phone (989) 892-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184770919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 WASHINGTON AVE STE 230",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085765",
            "telephone_number": "989-892-0440",
            "fax_number": "989-892-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WASHINGTON AVE STE 230",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085765",
            "telephone_number": "989-892-0440",
            "fax_number": "989-892-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ROGER",
        "middle_name": "W.",
        "credential": "D.D.S., M.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901009844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • 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.