Brent Michael Hiebert, DDS, MSD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D10569 Issued in OR

Practice address

2090 NE Highway 99W Ste a
McMinnville, OR 97128-6261

Phone

(503) 883-7668

Fax

(503) 883-7669

NPI assigned

Jul 16, 2010

Last updated

Apr 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1639482896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 NE HIGHWAY 99W STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286261",
            "telephone_number": "503-883-7668",
            "fax_number": "503-883-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 NE HIGHWAY 99W STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286261",
            "telephone_number": "503-883-7668",
            "fax_number": "503-883-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEBERT",
        "first_name": "BRENT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59374",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D10569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjelica Hernandez
• Heron Counseling Services Corporation (Better Choices Counseling Services)
• Nicholas Alexander Heuer, DC
• Alex Heyrman, M.D.
• HG Hillside LLC (Village at Hillside)
• McKenna Higa
• Kristina Jo Higgins
• Trev Kathleen Higgins
• Gregor A. Hill, ATC
• Krista Dawn Hill

• Endodontics in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Endodontics in Oregon

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