Active NPI
Anna Hallie Lillmars, DDS
- Dentist
- Hillsboro, MO
National Provider Identifier
1740628833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2013016373
- Practice address
- 4 Hickory Ridge Rd
Ste 600
Hillsboro, MO 63050-5100 - Phone
- (636) 481-6040
- NPI assigned
- Jun 11, 2013
- 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 | 2013016373 | MO | Primary |
Addresses
Primary practice location
4 Hickory Ridge Rd
Ste 600
Hillsboro, MO 63050-5100
Mailing address
227 E Main St
Festus, MO 63028-1952
Phone (636) 931-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
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": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1740628833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 E MAIN ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630281952",
"telephone_number": "636-931-2700",
"fax_number": "636-931-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HICKORY RIDGE RD",
"address_2": "STE 600",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630505100",
"telephone_number": "636-481-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLMARS",
"first_name": "ANNA",
"middle_name": "HALLIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2013016373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.