DR. BRYAN C HILLER (NPI# 1114115219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114115219 |
| Entity Type | Individual |
| Full Name | DR. BRYAN C HILLER |
| Credential | D.M.D, MS |
| Practice Address |
5100 Talley Rd Ste 100 Little Rock AR 72204-8032 |
| Mailing Address |
5100 Talley Rd. Ste 100 Little Rock AR 72204 |
| Practice Telephone | 6177807387 |
| Mailing Telephone | 6177807387 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2013-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
03583 | NH | Dental Providers |
| Street Address |
5100 TALLEY RD STE 100 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-8032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164813226 | Rdp Laboratories, LLC | Clinical Medical Laboratory | 5100 Talley Rd, Suite 300, Little Rock, AR 72204-8032 | 2015-02-11 |
| 1922346329 | Diamond Clear Diagnostics, LLC | Clinical Medical Laboratory | 5100 Talley Rd, Suite 300, Little Rock, AR 72204-8032 | 2013-01-21 |
| 1528315942 | Arkansas Genomics, LLC | Clinical Medical Laboratory | 5100 Talley Rd, Suite 300, Little Rock, AR 72204-8032 | 2012-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875729 | Wardlaw Orthodontics, P.a. | Dentist | 8315 Cantrell Rd Ste 100, Little Rock, AR 72227-2354 | 2020-06-11 |
| 1659922904 | Hodge Orthodontics | Dentist | 2924 Kavanaugh Blvd, Little Rock, AR 72205-3719 | 2019-09-26 |
| 1700346772 | Ashcraft Orthodontics Pllc | Dentist | 23 Shackleford Dr Ste A, Little Rock, AR 72211-2990 | 2019-03-25 |
| 1881053361 | Axpm Sw Little Rock Pedo, Pllc | Dentist | 9100 Geyer Springs Rd, Little Rock, AR 72209-6425 | 2016-02-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1033346143 | Vondran Orthodontics | Dentist | 4220 N Rodney Parham Rd Ste 310, Little Rock, AR 72212-2466 | 2009-06-16 |
| 1427236165 | Walker Orthodontics, Inc | Dentist | 200 South University Suite 200, Little Rock, AR 72116 | 2008-02-05 |
| 1326243973 | David E Walker Jr. | Dentist | 200 S University Ave Ste 200, Little Rock, AR 72205-5230 | 2007-06-15 |
| 1215149638 | Timmons Orthodontics | Dentist | 315 N Bowman Rd Ste 5, Little Rock, AR 72211-2735 | 2007-05-06 |
| 1124158258 | John A Daniel | Dentist | 12419 Cantrell Rd, Little Rock, AR 72223-1727 | 2007-03-07 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.