Individual provider Active NPI

Bryan Scott Hillin, D.M.D

  • Dentist
  • Greensboro, GA
National Provider Identifier
1467589689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11630 Issued in GA
Practice address
1590 S Main St
Greensboro, GA 30642-1256
Phone
(706) 453-7860
Fax
(706) 453-0604
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

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
Dentist 122300000X 11630 GA Primary

Addresses

Primary practice location

1590 S Main St
Greensboro, GA 30642-1256

Mailing address

1590 S Main St
Greensboro, GA 30642-1256
Phone (706) 453-7860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467589689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421256",
            "telephone_number": "706-453-7860",
            "fax_number": "706-453-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421256",
            "telephone_number": "706-453-7860",
            "fax_number": "706-453-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIN",
        "first_name": "BRYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "11630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.