Individual provider Active NPI

Jessica Lea Hill, DMD

  • Dentist
  • Alexandria, VA
National Provider Identifier
1700931391
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401411527 Issued in VA
Practice address
124 S. West St
#100
Alexandria, VA 22314
Phone
(703) 683-6688
Fax
(703) 683-6690
NPI assigned
Jan 24, 2007
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401411527 VA Primary

Addresses

Primary practice location

124 S. West St
#100
Alexandria, VA 22314

Mailing address

124 S. West St.
#100
Alexandria, VA 22314-2237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511001755 PA Order and Referring Only - DentistPractitioner - Dentist 5597054718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1700931391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S. WEST ST.",
            "address_2": "#100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S. WEST ST",
            "address_2": "#100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-683-6688",
            "fax_number": "703-683-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JESSICA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.