Julia a. Hallisy D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36659 Issued in CA

Legal business name

JULIA A. HALLISY D.D.S., INC.

Practice address

345 W Portal Ave Ste 210
San Francisco, CA 94127-1429

Phone

(415) 681-1011

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Julia Ann Hallisy, DDSNPI 1124056841

Title

Owner Dentist

Phone

(415) 385-5869

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Ann Hallisy, DDS

  • Dentist
  • San Francisco, CA
  • NPI 1124056841
  NPD Authorized official

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1144701889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W PORTAL AVE STE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271429",
            "telephone_number": "415-681-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W PORTAL AVE STE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271429",
            "telephone_number": "415-681-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA A. HALLISY D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "HALLISY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "415-385-5869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "36659",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.