Individual provider Active NPI

Thomas A Hillebrand, DMD PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Claremont, NH
National Provider Identifier
1548368681
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
1410 Issued in NH
Practice address
110 Charlestown Road
Claremont, NH 03743-5615
Phone
(603) 542-8797
Fax
(603) 542-6901
NPI assigned
Sep 20, 2006
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
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 1410 NH Primary

Addresses

Primary practice location

110 Charlestown Road
Claremont, NH 03743-5615

Mailing address

110 Charlestown Road
Claremont, NH 03743-5615
Phone (603) 542-8797

Other identifiers 2

IdentifierTypeStateIssuer
0001893MedicaidVT
89191893MedicaidNH

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas a. Hillebrand, DMD, PA Oral & Maxillofacial Surgery 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548368681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHARLESTOWN ROAD",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037435615",
            "telephone_number": "603-542-8797",
            "fax_number": "603-542-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHARLESTOWN ROAD",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037435615",
            "telephone_number": "603-542-8797",
            "fax_number": "603-542-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEBRAND",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "DMD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NH",
            "license": "1410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001893",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89191893",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

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.