Individual provider Active NPI

Bertha Elizabeth Hillian

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1952001687
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401418648 Issued in VA
Practice address
109 Gainsborough SQ
Chesapeake, VA 23320-1707
Phone
(757) 842-7296
NPI assigned
Mar 10, 2023
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401418648 VA Primary
General Practice Dentistry 1223G0001X 2901601945 MI
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

109 Gainsborough SQ
Chesapeake, VA 23320-1707

Mailing address

4072 Victory Blvd
Portsmouth, VA 23701-2809
Phone (269) 601-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901601945MIMDGeneral Practice Dentistry
0401418648VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1952001687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 VICTORY BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012809",
            "telephone_number": "269-601-1780",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 GAINSBOROUGH SQ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201707",
            "telephone_number": "757-842-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIAN",
        "first_name": "BERTHA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418648",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601945",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.