Active NPI
Kimberly Jackson Hildebrand, D.D.S.
- Dentist
- Dallas, TX
National Provider Identifier
1730368739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22712
- Practice address
- 5321 East Mockingbird Lane
Ste. 210
Dallas, TX 75206 - Phone
- (214) 824-7873
- Fax
- (214) 824-7873
- NPI assigned
- Oct 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22712 | TX | Primary |
Addresses
Primary practice location
5321 East Mockingbird Lane
Ste. 210
Dallas, TX 75206
Mailing address
5321 East Mockingbird Lane
Ste. No 210
Dallas, TX 75206
Phone (214) 824-7873
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22712 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1730368739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5321 EAST MOCKINGBIRD LANE",
"address_2": "STE. NO 210",
"city": "DALLAS",
"state": "TX",
"postal_code": "75206",
"telephone_number": "214-824-7873",
"fax_number": "214-824-7873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5321 EAST MOCKINGBIRD LANE",
"address_2": "STE. 210",
"city": "DALLAS",
"state": "TX",
"postal_code": "75206",
"telephone_number": "214-824-7873",
"fax_number": "214-824-7873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRAND",
"first_name": "KIMBERLY",
"middle_name": "JACKSON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.