Individual provider Active NPI

Matthew Golden Hill, D.D.S.

  • General Practice Dentistry
  • Flagstaff, AZ
National Provider Identifier
1497104293
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9452 Issued in AZ
Practice address
304 S Regent St Ste 101
Flagstaff, AZ 86001-5961
Phone
(928) 226-7494
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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 9452 AZ Primary

Addresses

Primary practice location

304 S Regent St Ste 101
Flagstaff, AZ 86001-5961

Mailing address

304 S Regent St Ste 101
Flagstaff, AZ 86001-5961
Phone (928) 226-7494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922002305 AZ Order and Referring Only - DentistPractitioner - Dentist 6002103751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9452AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsville Dental Care, PLLC Current Accepting new patients
Flagstaff Modern Dentistry 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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1497104293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S REGENT ST STE 101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015961",
            "telephone_number": "928-226-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S REGENT ST STE 101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015961",
            "telephone_number": "928-226-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "MATTHEW",
        "middle_name": "GOLDEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.