Active NPI
Douglas E. Hille, DDS
- General Practice Dentistry
- Ritzville, WA
National Provider Identifier
1508070608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3692
- Practice address
- 202 W 10TH Ave
Ritzville, WA 99169-2256 - Phone
- (509) 659-0860
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3692 | WA | Primary |
Addresses
Primary practice location
202 W 10TH Ave
Ritzville, WA 99169-2256
Mailing address
202 W 10TH Ave
Ritzville, WA 99169-2256
Phone (509) 659-0860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5335500 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3692 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508070608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W 10TH AVE",
"city": "RITZVILLE",
"state": "WA",
"postal_code": "991692256",
"telephone_number": "509-659-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W 10TH AVE",
"city": "RITZVILLE",
"state": "WA",
"postal_code": "991692256",
"telephone_number": "509-659-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLE",
"first_name": "DOUGLAS",
"middle_name": "E.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "3692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5335500",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ritzville, WA
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.