Individual provider Active NPI

Jill Ellen Hild, DDS

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1497829808
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5339 Issued in NE
Practice address
5323 North 134TH Ave
Omaha, NE 68164-6302
Phone
(402) 492-9303
Fax
(402) 496-4073
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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 5339 NE Primary

Addresses

Primary practice location

5323 North 134TH Ave
Omaha, NE 68164-6302

Mailing address

5323 North 134TH Ave
Omaha, NE 68164-6302
Phone (402) 492-9303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160428000049 NE Order and Referring Only - DentistPractitioner - Dentist 9931408135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jill E. Hild, DDS General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1497829808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 NORTH 134TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681646302",
            "telephone_number": "402-492-9303",
            "fax_number": "402-496-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 NORTH 134TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681646302",
            "telephone_number": "402-492-9303",
            "fax_number": "402-496-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILD",
        "first_name": "JILL",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.