NPIMap

Organization Active NPI

Tommy G. Hillman, DDS, a Professional Dental Corporation

  • Dentist
  • Lake Charles, LA
National Provider Identifier
1942566930
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4191 Issued in LA
Legal business name
TOMMY G. HILLMAN, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
3437 Derek Dr
Lake Charles, LA 70607-7533
Phone
(337) 478-0531
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Tommy G. Hillman, DDS
Title
Practice Owner/ Dentist
Phone
(337) 478-0531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4191 LA Primary

Addresses

Primary practice location

3437 Derek Dr
Lake Charles, LA 70607-7533

Mailing address

3437 Derek Dr
Lake Charles, LA 70607-7533

National Provider Directory

National Provider Directory

Locations

3437 Derek Dr
Lake Charles, LA 70607
Phone (337) 478-0531

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1942566930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 DEREK DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706077533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 DEREK DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706077533",
            "telephone_number": "337-478-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMMY G. HILLMAN, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRACTICE OWNER/ DENTIST",
        "authorized_official_telephone_number": "337-478-0531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "4191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.