Active NPI
Methawee Hall
- Dentist
- Surprise, AZ
National Provider Identifier
1144969775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D011378
- Practice address
- 13869 W Bell Rd Ste 103
Surprise, AZ 85374-2468 - Phone
- (162) 358-4401
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D011378 | AZ | Primary |
Addresses
Primary practice location
13869 W Bell Rd Ste 103
Surprise, AZ 85374-2468
Mailing address
9366 W Donald Dr
Peoria, AZ 85383-2984
Phone (843) 647-8127
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Surprise | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D011378 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1144969775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9366 W DONALD DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853832984",
"telephone_number": "843-647-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13869 W BELL RD STE 103",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742468",
"telephone_number": "162-358-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "METHAWEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D011378",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Surprise",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13869 W Bell Rd Ste 103",
"city": "Surprise",
"state": "AZ",
"country_code": "US",
"postal_code": "853742468",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.