Individual provider Active NPI

Michael Benjamin Hillegass, DDS

  • Dentist
  • Arvada, CO
National Provider Identifier
1548950520
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00205565 Issued in CO
Practice address
7470 W 52ND Ave
Arvada, CO 80002-3710
Phone
(303) 475-0037
NPI assigned
May 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00205565 CO Primary

Addresses

Primary practice location

7470 W 52ND Ave
Arvada, CO 80002-3710

Mailing address

1295 Edgehill Rd Apt 35
Columbus, OH 43212-3174
Phone (330) 907-5594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20231023001076 CO Order and Referring Only - DentistPractitioner - Dentist 2264888536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00205565COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arvada Smiles Dentistry, LLP PastSince May 14, 2023 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": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1548950520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 EDGEHILL RD APT 35",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123174",
            "telephone_number": "330-907-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 W 52ND AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023710",
            "telephone_number": "303-475-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEGASS",
        "first_name": "MICHAEL",
        "middle_name": "BENJAMIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.