Individual provider Active NPI

Gregg Thomas Hillery, DMD

  • General Practice Dentistry
  • Concord, NH
National Provider Identifier
1750448494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3071 Issued in NH
Practice address
20 S State St
Concord, NH 03301-3725
Phone
(603) 224-2555
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021000358 NH Order and Referring Only - DentistPractitioner - Dentist 1456639715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg T. Hillery DMD LLC General Practice Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3071 NH Primary

Addresses

NPPES NPI Registry

Primary practice location

20 S State St
Concord, NH 03301-3725

Mailing address

2 Highview Cir
Manchester, NH 03104-4724
Phone (603) 669-2688

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750448494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HIGHVIEW CIR",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044724",
            "telephone_number": "603-669-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013725",
            "telephone_number": "603-224-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLERY",
        "first_name": "GREGG",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.