Active NPI
Joshua Michael Hiller, D.D.S.
- General Practice Dentistry
- Vancouver, WA
National Provider Identifier
1639252471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60148458
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150605000306 | WA | Order and Referring Only - Oral Surgery | 2466773288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12241 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Vancouver, WA
- NPI 1811214307
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.