Individual provider Active NPI

Holly Ann Hilleman, RDH

  • Dental Hygienist
  • Fairbanks, AK
National Provider Identifier
1245146893
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
152210 Issued in AK
Practice address
3180 Peger Rd Ste 260
Fairbanks, AK 99709-5485
Phone
(907) 947-4696
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 152210 AK Primary

Addresses

Primary practice location

3180 Peger Rd Ste 260
Fairbanks, AK 99709-5485

Mailing address

1242 Donna Dr
Fairbanks, AK 99712-1361
Phone (907) 947-4696

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1245146893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 DONNA DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121361",
            "telephone_number": "907-947-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 PEGER RD STE 260",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095485",
            "telephone_number": "907-947-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEMAN",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AK",
            "license": "152210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.