Bradley Halliwill, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600366 Issued in MI

Practice address

2501 W Pierson Rd # Unitsb-D
Flint, MI 48504-6802

Phone

(810) 789-5880

NPI assigned

Oct 8, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Dental Dreams, PLLC

  • General Practice Dentistry
  • Flint, MI
  • NPI 1083995526
  NPD (past)

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1134760424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 MONTGOMERY DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483164332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W PIERSON RD # UNITSB-D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485046802",
            "telephone_number": "810-789-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIWILL",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyaira Hall
• Tyteanna Hall
• Heidi Marie Haller, MS
• Richard J Halliday, DDS
• Diane L. Hallinen, M.D.
• Hallmark Smiles, PLLC
• Michele Marie Hallock, RN
• Teresa G Hallwood, R.N.
• Lee H Halsted, O.D.
• Elizabeth Mary Ham, CRNA

• General Practice Dentistry in Flint, MI
• Providers in Flint, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.