Individual provider Active NPI

Hillery J Oliver, D.D.S.

  • General Practice Dentistry
  • Avon, CO
National Provider Identifier
1407168677
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN00010243 Issued in CO
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

Updated by the provider on Apr 21, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229000711 CO Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0840591392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN00010243COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Family Health Centers Past Accepting new patients
Englewood Dental Partners General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.