Active NPI
Hillar Roman Kollist, DDS
- Dentist
- Sylva, NC
National Provider Identifier
1275646572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4503
- Practice address
- 876 E Main St
Sylva, NC 28779-5803 - Phone
- (828) 586-6868
- NPI assigned
- Aug 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4503 | NC | Primary |
Addresses
Primary practice location
876 E Main St
Sylva, NC 28779-5803
Mailing address
876 E Main St
Sylva, NC 28779-5803
Phone (828) 586-6868
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4503 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275646572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 E MAIN ST",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795803",
"telephone_number": "828-586-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 E MAIN ST",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795803",
"telephone_number": "828-586-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLIST",
"first_name": "HILLAR",
"middle_name": "ROMAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "4503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylva, NC
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.