Hilliard I Blank, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019017864 Issued in IL

Practice address

2859 N Halsted St Ste 1
Chicago, IL 60657-7011

Phone

(773) 248-8836

Fax

(773) 248-8873

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cushing Dental, P.C.

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1801298856
  NPD (past)
• Greater Baltimore Medical Center, Inc.

  • Medical Oncology Physician
  • Baltimore, MD
  • NPI 1235167297
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437201084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 N HALSTED ST STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577011",
            "telephone_number": "773-248-8836",
            "fax_number": "773-248-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 N HALSTED ST STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577011",
            "telephone_number": "773-248-8836",
            "fax_number": "773-248-8873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2419 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60614",
            "country_code": "US",
            "telephone_number": "773-248-8836",
            "fax_number": "773-248-8873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANK",
        "first_name": "HILLIARD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawnya Noel Blanford, LCSW
• Alan T Blank, M.D.
• Alexander Blank, PA-C
• Andrea Lynn Blank, RN, BSN, MSN
• Carolyn Wilkens Blank, MS, OTR/L
• Jessica Blank, MD
• Kelsey Ann Blank
• Roneen Blank, M.D.
• Erica Lynn Blankemeyer, PA-C
• Brooke Naomi Blankenship, LCPC

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.