Individual provider Active NPI

Donald R Hills, DDS

  • General Practice Dentistry
  • Woodbury, NY
National Provider Identifier
1902901515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38605 Issued in NY
Practice address
136 Woodbury Rd
Suite L3
Woodbury, NY 11797-1411
Phone
(516) 367-9396
NPI assigned
Sep 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38605 NY Primary

Addresses

Primary practice location

136 Woodbury Rd
Suite L3
Woodbury, NY 11797-1411

Mailing address

136 Woodbury Rd
Suite L3
Woodbury, NY 11797-1411
Phone (516) 367-9396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20151202001212 NY Order and Referring Only - DentistPractitioner - Dentist 1153621834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38605NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902901515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WOODBURY RD",
            "address_2": "SUITE L3",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971411",
            "telephone_number": "516-367-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WOODBURY RD",
            "address_2": "SUITE L3",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971411",
            "telephone_number": "516-367-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLS",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "38605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.