Individual provider Active NPI

Hillary Jane Hunter, D.D.S.

  • General Practice Dentistry
  • Prescott, WI
National Provider Identifier
1336407386
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
693215 Issued in WI
Practice address
1267 Walnut St
Prescott, WI 54021-1060
Phone
(651) 216-4174
NPI assigned
Apr 27, 2012
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 693215 WI Primary

Addresses

Primary practice location

1267 Walnut St
Prescott, WI 54021-1060

Mailing address

1267 Walnut St
Prescott, WI 54021-1060
Phone (651) 216-4174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161215001236 WI Order and Referring Only - DentistPractitioner - Dentist 0941580625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
693215WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1336407386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 WALNUT ST",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540211060",
            "telephone_number": "651-216-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 WALNUT ST",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540211060",
            "telephone_number": "651-216-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "HILLARY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "693215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, WI

Sources for this page

Verify at the official NPI Registry.