Jordyn Renee Hildebrand

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

30.025382 Issued in OH

Practice address

1515 Portage St NW # 1
North Canton, OH 44720-2290

Phone

(330) 494-0646

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Van Hala Dental Group LLC

  • Dentist
  • North Canton, OH
  • NPI 1427556984
  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1619459880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PORTAGE ST NW # 1",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202290",
            "telephone_number": "330-494-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PORTAGE ST NW # 1",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202290",
            "telephone_number": "330-494-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "JORDYN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "OH",
            "license": "30.025382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail S Hickey, PTA
• Joy Rae Hicks, OTR
• Matthew A Higginbotham, PTA
• Amber R Higgins, COTA/L
• Wendy W Higley, RPH
• Adam D Hill, PTA
• Hope Hill, APRN-CNP
• Wendy Hill, COTA/L
• Jenna Marie Hilty, PHARMD
• Michelle L Hinchee, PTA

• Public Health Dentistry in North Canton, OH
• Providers in North Canton, OH by specialty
• Public Health Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.