Organization Active NPI

Michael Hilleary DDS PLLC

  • General Practice Dentistry
  • Westover, WV
National Provider Identifier
1730458357
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3640 Issued in WV
Legal business name
MICHAEL HILLEARY DDS PLLC
Practice address
157 Holland Ave
Westover, WV 26501-4315
Phone
(304) 296-1721
Fax
(304) 296-1115
NPI assigned
Dec 28, 2011
Last updated
Dec 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Dr. Michael Richard Hilleary, D.D.S.NPI 1194807214
Title
Member
Phone
(304) 296-1721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3640 WV Primary

Addresses

Primary practice location

157 Holland Ave
Westover, WV 26501-4315

Mailing address

157 Holland Ave
Westover, WV 26501-4315
Phone (304) 296-1721

National Provider Directory

National Provider Directory

Locations

157 Holland Ave
Westover, WV 26501
Phone (304) 296-1721

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1730458357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 HOLLAND AVE",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "265014315",
            "telephone_number": "304-296-1721",
            "fax_number": "304-296-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 HOLLAND AVE",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "265014315",
            "telephone_number": "304-296-1721",
            "fax_number": "304-296-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL HILLEARY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "HILLEARY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-296-1721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westover, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.