Active NPI
Gary Hildebrandt, D.D.S.,M.S.
- General Practice Dentistry
- Golden Valley, MN
National Provider Identifier
1790854891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11083
- Practice address
- 7501 Golden Valley Rd
Golden Valley, MN 55427-4563 - Phone
- (763) 544-2213
- Fax
- (763) 541-1758
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11083 | MN | Primary |
Addresses
Primary practice location
7501 Golden Valley Rd
Golden Valley, MN 55427-4563
Mailing address
920 Feltl CT
Apt. #251
Hopkins, MN 55343-6100
Phone (612) 625-5130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151231001514 | MN | Order and Referring Only - Dentist | 4789986126 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11083 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Partners of Minnesota, LTD | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Golden Valley, MN
- NPI 1649353921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790854891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 FELTL CT",
"address_2": "APT. #251",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553436100",
"telephone_number": "612-625-5130",
"fax_number": "612-625-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274563",
"telephone_number": "763-544-2213",
"fax_number": "763-541-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRANDT",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "11083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.