Individual provider Active NPI

Gregory A. Hillyard, D.M.D.

  • General Practice Dentistry
  • Media, PA
National Provider Identifier
1437373529
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
024648L Issued in PA
Practice address
47 State Rd
Media, PA 19063-1544
Phone
(610) 566-0291
Fax
(610) 566-0922
NPI assigned
Apr 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 024648L PA Primary

Addresses

Primary practice location

47 State Rd
Media, PA 19063-1544

Mailing address

970 Palmers Mill Rd
Media, PA 19063-1030
Phone (610) 355-0984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 26, 2016 through May 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
024648LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory a Hillyard DMD PC Past Accepting new patients
Gregory a. Hillyard, D.M.D. and Associates General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437373529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 PALMERS MILL RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631030",
            "telephone_number": "610-355-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 STATE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631544",
            "telephone_number": "610-566-0291",
            "fax_number": "610-566-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLYARD",
        "first_name": "GREGORY",
        "middle_name": "A.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "024648L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.