Sara Elizabeth Hall, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901021166 Issued in MI

Practice address

121 Main St
East Jordan, MI 49727-5114

Phone

(865) 518-1132

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1154490241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MAIN ST",
            "address_2": "PO BOX 638",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497275114",
            "telephone_number": "865-518-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAIN ST",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497275114",
            "telephone_number": "865-518-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 8484",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gee, MA, LPC
• Gregory J Klinker DDS, P.C.
• Megan Griffin, CHW, LBSW
• Diane Marie Hague, CD
• Jesse Leigh Haines, PHARMD
• Brooke Hawley, LPC, NCC, CADC
• Kathleen Sue Hill, OTRL
• Richard Lewis Johnson Sr., DDS, MS
• Jordan Valley Emergency Medical Service Authority
• Casey Keane, PT, DPT, AT, ATC

• All providers in East Jordan, MI
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.