Individual provider Active NPI

Todd Lyle Hillyard, D.D.S.

  • Pediatric Dentistry
  • Vancouver, WA
National Provider Identifier
1659418200
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
49899 Issued in CA
Practice address
2501 NE 134TH St
Suite 105
Vancouver, WA 98686-3026
Phone
(360) 604-9000
Fax
(360) 573-1417
NPI assigned
Jan 31, 2007
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 49899 CA Primary

Addresses

Primary practice location

2501 NE 134TH St
Suite 105
Vancouver, WA 98686-3026

Mailing address

2501 NE 134TH St
Suite 105
Vancouver, WA 98686-3026
Phone (360) 604-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49899CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hillyard and Neil, P.L.L.C. Pediatric Dentistry CurrentSince May 11, 2025 Accepting new patients

Locations

900 NE 139th St
Ste 106
Vancouver, WA 98685
Phone (360) 604-9000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1659418200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 NE 134TH ST",
            "address_2": "SUITE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863026",
            "telephone_number": "360-604-9000",
            "fax_number": "360-573-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NE 134TH ST",
            "address_2": "SUITE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863026",
            "telephone_number": "360-604-9000",
            "fax_number": "360-573-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLYARD",
        "first_name": "TODD",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "49899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2008; 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.