Jeremy Michael Hill, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401416379 Issued in VA

Practice address

Fort Cavazos Dentac
BLDG 36000 Shoemaker LN, Suite 1051
Fort Cavazos, TX 76502

Phone

(706) 664-9883

NPI assigned

Jun 12, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1992298137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 LILAC LEDGE DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022179",
            "telephone_number": "706-664-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORT CAVAZOS DENTAC",
            "address_2": "BLDG 36000 SHOEMAKER LN, SUITE 1051",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76502",
            "telephone_number": "706-664-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416379",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "10015",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401416379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Oakley Heist, MD
• Stephanie Leigh Helmus, DDS, MS
• Timothy John Hepler, M.D.
• Yanira Hernandez-Collazo I, PSY.D
• Christina Herrera, PA
• Drew B Hirsch, LCSW
• Clayton Hodge, PA-C
• James Hoffman, PA-C
• Aura Celeste Holmes, CPHT
• Michael Scott Holt, FNP

• Endodontics in Fort Cavazos, TX
• Providers in Fort Cavazos, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.