Erick Michael Hallie, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11926 Issued in MN

Practice address

520 NW 5TH St
Grand Rapids, MN 55744-2560

Phone

(218) 326-2901

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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 MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sherman and Hallie DDS PA

  • Dentist
  • Grand Rapids, MN
  • NPI 1518148238
  NPD (past)

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": "1093886525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34536 WILDERNESSA RD",
            "city": "DEER RIVER",
            "state": "MN",
            "postal_code": "566363075",
            "telephone_number": "218-326-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NW 5TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442560",
            "telephone_number": "218-326-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIE",
        "first_name": "ERICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Anne Haden, APRN, CNP
• Lindsey Hagen, LADC
• Michael Theodore Hagley, DDS
• Jody J Hahn, OTR
• Heidi Halker
• Valerie Halverson, R.PH.
• Wade Daniel Halvorsen
• Anne Hammann, LADC
• Kayla Marie Hanna, MS, LPCC
• Rochelle Lois Hansen

• General Practice Dentistry in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• General Practice Dentistry in Minnesota

• 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.