Jeffrey David Hall, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8787 Issued in NC

Practice address

621 S Broadway St
Forest City, NC 28043-4246

Phone

(828) 248-9100

Fax

(828) 248-2276

NPI assigned

Jun 3, 2009

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 NC

Eligible to order & refer

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

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 and National Provider Directory roles.

• Forest City Family Dentistry

  • Dental Clinic/Center
  • Forest City, NC
  • NPI 1023508553
  NPD Authorized official
• JD Hall DMD PA

  dba Foothiils Dental Associates

  • General Practice Dentistry
  • Spindale, NC
  • NPI 1992410252
  NPD Authorized official

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1053547042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S BROADWAY ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280434246",
            "telephone_number": "828-248-9100",
            "fax_number": "828-248-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S BROADWAY ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280434246",
            "telephone_number": "828-248-9100",
            "fax_number": "828-248-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Jane Griffith, DDS
• Scott Banner Griffith, DDS
• Jerry Lee Gross, DPM
• Andreas Haggiandreou
• Tanner Hale, DC
• James Arthur Hamilton, LCAS-A
• Cragan Elizabeth Hardin, MSW, LCSW-A
• Kenneth Hardin
• Hardins Drug
• Hardins Drug 2

• General Practice Dentistry in Forest City, NC
• Providers in Forest City, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.