Individual provider Active NPI

Bryan P Hill, DDS

  • General Practice Dentistry
  • Grants Pass, OR
National Provider Identifier
1346479714
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9287 Issued in OR
Practice address
1201 NE 7TH St
Ste a
Grants Pass, OR 97526-1451
Phone
(541) 474-4360
Fax
(541) 474-0685
NPI assigned
Jul 7, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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 D9287 OR Primary

Addresses

Primary practice location

1201 NE 7TH St
Ste a
Grants Pass, OR 97526-1451

Mailing address

1201 NE 7TH St
Ste a
Grants Pass, OR 97526-1451
Phone (541) 474-4360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150720001880 WA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4587977533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9287ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1346479714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NE 7TH ST",
            "address_2": "STE A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261451",
            "telephone_number": "541-474-4360",
            "fax_number": "541-474-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE 7TH ST",
            "address_2": "STE A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261451",
            "telephone_number": "541-474-4360",
            "fax_number": "541-474-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "BRYAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.