Individual provider Active NPI

Richard D Hilleman, DC

  • Chiropractor
  • Fontana, CA
National Provider Identifier
1184799017
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17491 Issued in CA
Practice address
8237 Sierra Ave
Ste a
Fontana, CA 92335-3526
Phone
(909) 428-1818
Fax
(909) 428-1818
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17491 CA Primary

Addresses

Primary practice location

8237 Sierra Ave
Ste a
Fontana, CA 92335-3526

Mailing address

8237 Sierra Ave
Ste a
Fontana, CA 92335-3526
Phone (909) 920-3688

Other identifiers 1

IdentifierTypeStateIssuer
DC0174910MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040112000528 CA Practitioner - Chiropractic 3072413293 Practice locations: Fontana, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8275 Sierra Ave
Suite 104
Fontana, CA 92335-3557
Phone (909) 428-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17491CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Restore Podiatry, PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184799017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8237 SIERRA AVE",
            "address_2": "STE A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353526",
            "telephone_number": "909-920-3688",
            "fax_number": "909-920-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8237 SIERRA AVE",
            "address_2": "STE A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353526",
            "telephone_number": "909-428-1818",
            "fax_number": "909-428-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEMAN",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0174910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.