Active NPI
Hillery J Oliver, D.D.S.
- General Practice Dentistry
- Avon, CO
National Provider Identifier
1407168677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN00010243
- Practice address
- 30 Benchmark Rd Ste 103
Avon, CO 81620-5917 - Phone
- (970) 688-5372
- NPI assigned
- Jul 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN00010243 | CO | Primary |
Addresses
Primary practice location
30 Benchmark Rd Ste 103
Avon, CO 81620-5917
Mailing address
PO Box 1895
Eagle, CO 81631-1895
Phone (719) 339-0157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151229000711 | CO | Order and Referring Only - Other (Physician) | 0840591392 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN00010243 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Family Health Centers | Past | Accepting new patients | |
| Englewood Dental Partners | General Practice | Past | Accepting new patients |
Interoperability endpoints
- hillery.oliver.p1@direct.mfhc.nextgenshare.com
Organizations & group practices 2
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.
-
dba Comfort Dental Englewood
- General Practice Dentistry
- Englewood, CO
- NPI 1912171133
-
dba Mountain Family Health Centers Gypsum
- Federally Qualified Health Center (FQHC)
- Gypsum, CO
- NPI 1710661194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713657600000",
"number": "1407168677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1895",
"city": "EAGLE",
"state": "CO",
"postal_code": "816311895",
"telephone_number": "719-339-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BENCHMARK RD STE 103",
"city": "AVON",
"state": "CO",
"postal_code": "816205917",
"telephone_number": "970-688-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "HILLERY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-05",
"last_updated": "2024-04-21",
"certification_date": "2024-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN00010243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.