Individual provider Active NPI

Dennis Herman Halbert, MD

  • Diagnostic Radiology Physician
  • Pikeville, KY
National Provider Identifier
1154439933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19596 Issued in KY
Practice address
911 S by Pass Rd
Pikeville, KY 41502-2648
Phone
(606) 432-1357
Fax
(606) 432-2457
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19596 KY Primary

Addresses

Primary practice location

911 S by Pass Rd
Pikeville, KY 41502-2648

Mailing address

PO Box 2648
Pikeville, KY 41502-2648
Phone (606) 432-1357

Other identifiers 5

IdentifierTypeStateIssuer
64195969MedicaidKY
000000047644OtherKYANTHEM
0958131OtherUMWA GROUP NUMBER
50002469OtherKYPASSPORT
0220033000OtherWVMEDICAID

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19596KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc PastSince Aug 11, 1992 Accepting new patients
Pikeville Radiology Diagnostic Radiology Past Accepting new patients

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154439933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2648",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022648",
            "telephone_number": "606-432-1357",
            "fax_number": "606-432-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S BY PASS RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022648",
            "telephone_number": "606-432-1357",
            "fax_number": "606-432-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERT",
        "first_name": "DENNIS",
        "middle_name": "HERMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "19596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64195969",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000047644",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA GROUP NUMBER",
            "identifier": "0958131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50002469",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0220033000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.