NPI age
13 years
Enumerated 2013-04-25
● Active
Type 1 · Individual
DR. Jordan Rodney Hillam, D.D.S.
Hillam is 1 of 21 dentist providers in Idaho Falls and 1 of 135 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-03-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 135 active dentist providers in Idaho.
NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 17% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-04Enumerated in NPPES
2013
2026
Where they practice
Practice location
758 E 65th S
Idaho Falls, ID 834047696
Mailing address
758 E 65th S
Idaho Falls, ID 834047696
Specialties
-
Dentist PrimaryThat 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...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.