Jordan Hillis D.D.S. PA

Primary specialty

DentistTaxonomy code 122300000X

License

3665 Issued in AR

Legal business name

JORDAN HILLIS D.D.S. PA

Doing business as

Hillis Family Dentistry

Practice address

96 Webster Dr
Ashdown, AR 71822-9103

Phone

(870) 898-8888

Fax

(870) 898-4650

NPI assigned

Sep 19, 2012

Last updated

Aug 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jordan T Hillis, D.D.S.NPI 1467612465

Title

Dentist

Phone

(870) 898-8888

Specialties & licenses 1

Addresses

Other names 1

• Hillis Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Tyler Hillis, DDS

  • Dentist
  • Ashdown, AR
  • NPI 1467612465
  NPD Authorized official

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1639429442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WEBSTER DR",
            "city": "ASHDOWN",
            "state": "AR",
            "postal_code": "718229103",
            "telephone_number": "870-898-8888",
            "fax_number": "870-898-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WEBSTER DR",
            "city": "ASHDOWN",
            "state": "AR",
            "postal_code": "718229103",
            "telephone_number": "870-898-8888",
            "fax_number": "870-898-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HILLIS D.D.S. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "HILLIS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "870-898-8888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillis Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Tyler Hillis, DDS
• Courtney Joy Hinton, COTA
• J.L.P. Investments, LLC (Pleasant Manor Nursing & Rehab)
• Candace Doralee Jackson, COTA/L
• Kyshia Johnson
• Kimberly Lynn Kennemore
• Kevin C Kleinschmidt MD PA
• Khoa Cao Nguyen MD PA
• Rachel C.H. King, MD
• Kevin C Kleinschmidt, MD

• Dentist in Ashdown, AR
• Providers in Ashdown, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.