Organization Active NPI

Hillcrest Dental Care, Inc

  • Dental Clinic/Center
  • Pittsfield, MA
National Provider Identifier
1336477652
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4E63 Issued in MA
Legal business name
HILLCREST DENTAL CARE, INC
Practice address
788 South St
Pittsfield, MA 01201-8237
Phone
(413) 445-6680
Fax
(413) 443-3680
NPI assigned
Nov 24, 2009
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Tricia Hunt
Title
Director of Operations
Phone
(413) 445-6680

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 4E63 MA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4E63 MA
Dental Clinic/Center 261QD0000X 4E63 MA Primary

Addresses

Primary practice location

788 South St
Pittsfield, MA 01201-8237

Mailing address

788 South St
Pittsfield, MA 01201-8237
Phone (413) 445-6680

National Provider Directory

National Provider Directory
Tax ID family
Hillcrest Dental Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

788 South St
Pittsfield, MA 01201
Phone (413) 445-6680

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1336477652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018237",
            "telephone_number": "413-445-6680",
            "fax_number": "413-443-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018237",
            "telephone_number": "413-445-6680",
            "fax_number": "413-443-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST DENTAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "413-445-6680"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "4E63",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "4E63",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "4E63",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.