Active NPI
Carol Hilborn, DMD
- Dentist
- Gulfport, MS
National Provider Identifier
1952470494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3668-12
- Practice address
- 431 Security SQ
Gulfport, MS 39507-1922 - Phone
- (228) 897-8998
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-3988 | ID | |
| Dentist | 122300000X | 3668-12 | MS | Primary |
Addresses
Primary practice location
431 Security SQ
Gulfport, MS 39507-1922
Mailing address
431 Security SQ
Gulfport, MS 39507-1922
Phone (228) 897-8998
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
| License | State | Type | Specialty |
|---|---|---|---|
| D-3988 | ID | MD | Dentist |
| 3668-12 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1952470494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 SECURITY SQ",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071922",
"telephone_number": "228-897-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 SECURITY SQ",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071922",
"telephone_number": "228-897-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILBORN",
"first_name": "CAROL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-3988",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "3668-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.