Individual provider Active NPI

Robert C. Hull, D.D.S.

  • General Practice Dentistry
  • Lexington, VA
National Provider Identifier
1104857606
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410207 Issued in VA
Practice address
650 N Lee Hwy
Ste 1
Lexington, VA 24450-3759
Phone
(540) 463-3826
Fax
(540) 463-4819
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410207 VA Primary

Addresses

Primary practice location

650 N Lee Hwy
Ste 1
Lexington, VA 24450-3759

Mailing address

650 N. Lee Hwy
Ste 1
Lexington, VA 24450
Phone (540) 463-3826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150630000816 VA Order and Referring Only - DentistPractitioner - Dentist 8325350663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401410207VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C Hull DDS PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1104857606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N. LEE HWY",
            "address_2": "STE 1",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "24450",
            "telephone_number": "540-463-3826",
            "fax_number": "540-463-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N LEE HWY",
            "address_2": "STE 1",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503759",
            "telephone_number": "540-463-3826",
            "fax_number": "540-463-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.