NPIMap

Organization Active NPI

Eastwood Dental PLLC

  • Dentist
  • Bowling Green, KY
National Provider Identifier
1407286198
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9259 Issued in KY
Legal business name
EASTWOOD DENTAL PLLC
Practice address
628 Eastwood St
Bowling Green, KY 42103-1602
Phone
(270) 781-4880
Fax
(270) 781-5929
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Dr. Emily Kay Hilliard, DMDNPI 1275966996
Title
Dentist/Owner
Phone
(270) 792-4214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9259 KY Primary

Addresses

Primary practice location

628 Eastwood St
Bowling Green, KY 42103-1602

Mailing address

628 Eastwood St
Bowling Green, KY 42103-1602
Phone (270) 781-4880

National Provider Directory

National Provider Directory

Locations

628 Eastwood St
Bowling Green, KY 42103
Phone (270) 781-4880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1407286198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 EASTWOOD ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031602",
            "telephone_number": "270-781-4880",
            "fax_number": "270-781-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 EASTWOOD ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031602",
            "telephone_number": "270-781-4880",
            "fax_number": "270-781-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "270-792-4214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "9259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.