NPIMap

Organization Active NPI

Mark J Hillman DDS

  • General Practice Dentistry
  • Des Moines, IA
National Provider Identifier
1407014798
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5504 Issued in IA
Legal business name
MARK J HILLMAN DDS
Practice address
4119 SW 9TH Street
Des Moines, IA 50315-3466
Phone
(515) 281-0700
Fax
(515) 281-0334
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. Mark J Hillman, DDSNPI 1942390349
Title
Owner
Phone
(515) 281-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5504 IA Primary

Addresses

Primary practice location

4119 SW 9TH Street
Des Moines, IA 50315-3466

Mailing address

4119 SW 9TH Street
Des Moines, IA 50315-3466
Phone (515) 281-0700

National Provider Directory

National Provider Directory

Locations

4119 SW 9th St
Des Moines, IA 50315
Phone (515) 281-0700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1407014798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 SW 9TH STREET",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153466",
            "telephone_number": "515-281-0700",
            "fax_number": "515-281-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 SW 9TH STREET",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153466",
            "telephone_number": "515-281-0700",
            "fax_number": "515-281-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J HILLMAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-281-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "5504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.