Organization Active NPI

Jerel D. Hill D.D.S. LLC

  • Health Maintenance Organization
  • Orem, UT
National Provider Identifier
1740573187
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
136284 Issued in UT
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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.NPI 1215985759
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
528748117000MedicaidUT

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.