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KEVIN HILDEBRANDT DDS
NPI 1376206847
Student in an Organized Health Care Education/Training Program in Mcas Iwakuni, 1 MISUMI MACHI

Active since October 20, 2021PECOS Enrolled
USNMRTU IWAKUNI, BLDG 110, MCAS IWAKUNI, 1 MISUMI MACHI 74000(315) 255-8500 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Aug 28, 2023, Oct 20, 2021 (3 updates tracked since 2021).

About Kevin Hildebrandt Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN HILDEBRANDT DDS (NPI 1376206847) is an individual student in an organized health care education/training program in Mcas Iwakuni, 1 MISUMI MACHI, licensed in Connecticut (14376) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1376206847
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN HILDEBRANDTCredential: DDS
Location AddressUSNMRTU IWAKUNI, BLDG 110Mcas Iwakuni, 1 MISUMI MACHI 74000
Mailing AddressPsc 561, Box 1877Fpo, AP 96310-0014
Phone(315) 255-8500
Sole ProprietorNo
Enumeration DateOctober 20, 2021
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1376206847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CT · 14376
Definition
An 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.
Also ListedDentistTaxonomy 122300000X · License D11553 (OR)

Secondary Practice Location 1

Location 12310 Craven St Unit 3230San Diego, CA 92136-5596 · Phone (480) 313-7874

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Hildebrandt Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Hildebrandt's NPI number?

The NPI number for Kevin Hildebrandt is 1376206847. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Kevin Hildebrandt located?

Kevin Hildebrandt practices at Usnmrtu Iwakuni Bldg 110, Mcas Iwakuni, 1 MISUMI MACHI 74000. The listed phone number is (315) 255-8500.

What is Kevin Hildebrandt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Hildebrandt enrolled in Medicare?

Yes. Kevin Hildebrandt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Hildebrandt was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.