Individual provider Active NPI

Amy Balestrino Hill, DDS

  • General Practice Dentistry
  • Collierville, TN
National Provider Identifier
1609225697
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10274 Issued in TN
Practice address
61 Peyton Pkwy Ste 103
Collierville, TN 38017-9702
Phone
(901) 861-0031
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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 10274 TN Primary

Addresses

Primary practice location

61 Peyton Pkwy Ste 103
Collierville, TN 38017-9702

Mailing address

61 Peyton Pkwy Ste 103
Collierville, TN 38017-9702
Phone (901) 861-0031

Other practice location 1

7730 Wolf River Blvd
Ste. 104
Germantown, TN 38138-1708
Phone (901) 755-6440

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

Practice roles

OrganizationSpecialtyStatusNew patients
Germantown Smile Design PC 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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1609225697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PEYTON PKWY STE 103",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179702",
            "telephone_number": "901-861-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PEYTON PKWY STE 103",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179702",
            "telephone_number": "901-861-0031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7730 Wolf River Blvd",
            "address_2": "Ste. 104",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381708",
            "country_code": "US",
            "telephone_number": "901-755-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "AMY",
        "middle_name": "BALESTRINO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.