Timothy Morris Hall, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-7009 Issued in TN

Practice address

147 North St
Jacksboro, TN 37757-2109

Phone

(423) 566-0573

Fax

(423) 562-1133

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Timothy M Hall DMD PC

  • Dentist
  • Jacksboro, TN
  • NPI 1083281026
  NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043381130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 NORTH ST",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572109",
            "telephone_number": "423-566-0573",
            "fax_number": "423-562-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 NORTH ST",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572109",
            "telephone_number": "423-566-0573",
            "fax_number": "423-562-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TIMOTHY",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS-7009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothee Gansore
• Katherine Gresham, FNP
• Adam Gulley
• Amanda Lynn Hahn, M.S., SLP
• Timothy Joseph Hall, D.M.D.
• Heart of Hope Homecare Services, LLC
• Clarence Ellis Helton III, RPH
• Hol Health Counseling
• Andrew Wade Howard, OD
• Elizabeth Thompson Howard, OD

• General Practice Dentistry in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.