Individual provider Active NPI

Gemma Modell Hill, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clackamas, OR
National Provider Identifier
1366972671
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D11698 Issued in OR
Practice address
14210 SE Sunnyside Rd Ste 300
Clackamas, OR 97015-5243
Phone
(503) 659-5000
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022204 MI
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE61337356 WA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D11698 OR Primary

Addresses

Primary practice location

14210 SE Sunnyside Rd Ste 300
Clackamas, OR 97015-5243

Mailing address

4535 SW Cullen Blvd
Portland, OR 97221-2923
Phone (714) 875-8046

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901022204MIMDDentist
D11698ORMDOrthodontics and Dentofacial Orthopedic Dentist
DE61337356WAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gemma Hill DDS LLC CurrentSince Jul 21, 2024 Accepting new patients
Jon Frankel Dentistry Inc. Dentist Past Accepting new patients
G Schnepper DDS Ms - Oregon PC PastSince Mar 1, 2023 Accepting new patients

Locations

14210 SE Sunnyside Rd
Ste 300
Clackamas, OR 97015
Phone (503) 558-0410

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1366972671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 SW CULLEN BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212923",
            "telephone_number": "714-875-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 SE SUNNYSIDE RD STE 300",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155243",
            "telephone_number": "503-659-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "GEMMA",
        "middle_name": "MODELL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022204",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE61337356",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D11698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.