Individual provider Active NPI

Juliana Folegatti Hall, D.D.S.

  • Dentist
  • Woodbine, IA
National Provider Identifier
1063777175
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60847 Issued in KS
Practice address
511 Walker St.
Woodbine, IA 51579
Phone
(712) 647-3188
Fax
(712) 647-2941
NPI assigned
Jul 5, 2012
Last updated
Jul 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60847 KS Primary

Addresses

Primary practice location

511 Walker St.
Woodbine, IA 51579

Mailing address

1415 Broadway
Denison, IA 51442
Phone (712) 263-5615

Other names 1

  • Juliana Folegatti Coletto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20150325001723 KS Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0749507028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60847KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jhsmiles LLC Current Accepting new patients
Broadway Dental LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1063777175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BROADWAY",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "51442",
            "telephone_number": "712-263-5615",
            "fax_number": "712-263-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WALKER ST.",
            "city": "WOODBINE",
            "state": "IA",
            "postal_code": "51579",
            "telephone_number": "712-647-3188",
            "fax_number": "712-647-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JULIANA",
        "middle_name": "FOLEGATTI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANA",
            "last_name": "COLETTO",
            "middle_name": "FOLEGATTI",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbine, IA

Sources for this page

Verify at the official NPI Registry.