Organization Active NPI

Hillsboro Dental PLLC

  • General Practice Dentistry
  • Hillsboro, TX
National Provider Identifier
1861038549
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HILLSBORO DENTAL PLLC
Practice address
1320 Corsicana Hwy Ste 160
Hillsboro, TX 76645-2653
Phone
(254) 582-2515
NPI assigned
Nov 18, 2019
Last updated
Nov 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tee Semera
Title
Credentialing Manager
Phone
(817) 809-4865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1320 Corsicana Hwy Ste 160
Hillsboro, TX 76645-2653

Mailing address

1261 W Green Oaks Blvd Ste 103
Arlington, TX 76013-8349
Phone (817) 809-4865

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tee.semera@altiusdental.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1861038549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W GREEN OAKS BLVD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138349",
            "telephone_number": "817-809-4865",
            "fax_number": "682-626-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CORSICANA HWY STE 160",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452653",
            "telephone_number": "254-582-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "SEMERA",
        "authorized_official_first_name": "TEE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "817-809-4865"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tee.semera@altiusdental.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All",
            "address_1": "1320 Corsicana Hwy Ste 160",
            "city": "Hillsboro",
            "state": "TX",
            "country_code": "US",
            "postal_code": "766452653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.