Active NPI
Jerel D. Hill D.D.S. LLC
- Health Maintenance Organization
- Orem, UT
National Provider Identifier
1740573187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 136284
- Legal business name
- JEREL D. HILL D.D.S. LLC
- Practice address
- 205 N State St
Orem, UT 84057-4745 - Phone
- (801) 225-7110
- Fax
- (801) 225-4001
- NPI assigned
- May 18, 2011
- Last updated
- May 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerel Denzil Hill, D.D.S.
- Title
- Owner
- Phone
- (801) 225-7110
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 136284 | UT | Primary |
Addresses
Primary practice location
205 N State St
Orem, UT 84057-4745
Mailing address
205 N State St
Orem, UT 84057-4745
Phone (801) 225-7110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528748117000 | Medicaid | UT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
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- Orem, UT
- NPI 1215985759
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- General Practice Dentistry
- Orem, UT
- NPI 1205884657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305676800000",
"number": "1740573187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N STATE ST",
"city": "OREM",
"state": "UT",
"postal_code": "840574745",
"telephone_number": "801-225-7110",
"fax_number": "801-225-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N STATE ST",
"city": "OREM",
"state": "UT",
"postal_code": "840574745",
"telephone_number": "801-225-7110",
"fax_number": "801-225-4001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEREL D. HILL D.D.S. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "JEREL",
"authorized_official_middle_name": "DENZIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-225-7110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "UT",
"license": "136284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528748117000",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.