Individual provider Active NPI

Joshua Michael Hiller, D.D.S.

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1639252471
Registry record updated Jul 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60148458 Issued in WA
Practice address
14313 NE 20TH Ave
Suite A101
Vancouver, WA 98686-1487
Phone
(360) 574-3985
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D12241 MN
General Practice Dentistry 1223G0001X DE60148458 WA Primary

Addresses

Primary practice location

14313 NE 20TH Ave
Suite A101
Vancouver, WA 98686-1487

Mailing address

223 NW 153Rd St
Vancouver, WA 98685-1796
Phone (801) 648-8551

Other names 1

  • Dr. Joshua Michael Hiller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150605000306 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466773288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12241MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Roger L. Stuart General Practice 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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404518400000",
    "number": "1639252471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 NW 153RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851796",
            "telephone_number": "801-648-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14313 NE 20TH AVE",
            "address_2": "SUITE A101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861487",
            "telephone_number": "360-574-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLER",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12241",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60148458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "HILLER",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.