Organization Active NPI

Kenneth Hilliard DPM

  • Foot & Ankle Surgery Podiatrist
  • Puyallup, WA
National Provider Identifier
1679751135
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO00000267 Issued in WA
Legal business name
KENNETH HILLIARD DPM
Practice address
1011 East Main
Suite 101
Puyallup, WA 98372-6768
Phone
(253) 445-1682
Fax
(253) 770-3833
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Kenneth Hilliard, DPM
Title
Owner
Phone
(253) 445-1682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO00000267 WA Primary

Addresses

Primary practice location

1011 East Main
Suite 101
Puyallup, WA 98372-6768

Mailing address

1011 East Main
Suite 101
Puyallup, WA 98372-6768
Phone (253) 445-1682

National Provider Directory

National Provider Directory

Locations

1011 E Main
Ste 101
Puyallup, WA 98372
Phone (253) 445-1682

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1679751135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 EAST MAIN",
            "address_2": "SUITE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726768",
            "telephone_number": "253-445-1682",
            "fax_number": "253-770-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 EAST MAIN",
            "address_2": "SUITE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726768",
            "telephone_number": "253-445-1682",
            "fax_number": "253-770-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH HILLIARD DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-445-1682",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.