Kasey Hall, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D11968 Issued in OR

Practice address

14210 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5241

Phone

(503) 658-3384

NPI assigned

Jun 18, 2017

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Kasey Hall, DMD, LLC

  • Pediatric Dentistry
  • Clackamas, OR
  • NPI 1831989706
  NPD Authorized official
• Nopo Kids Dentistry, LLC

  • Pediatric Dentistry
  • Portland, OR
  • NPI 1760869143
  NPD (past)
• Young Kidz Dental

  • Pediatric Dentistry
  • Clackamas, OR
  • NPI 1023222643
  NPD (past)
• Horizon Orthodontics, P.a

  • Dentist
  • Horizon City, TX
  • NPI 1942643515
  NPD (past)
• Texas Kids Dental Care Horizon

  • Dentist
  • El Paso, TX
  • NPI 1376888305
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1154851681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 SE SUNNYSIDE RD STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155241",
            "telephone_number": "971-645-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 SE SUNNYSIDE RD STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155241",
            "telephone_number": "503-658-3384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4548 N Albina Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972173010",
            "country_code": "US",
            "telephone_number": "971-978-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KASEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33334",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D11968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josiah David Hagen, D.O.
• Homayon Hajarizadeh, M.D.
• Christopher Gordon Hale, M.D.
• Grant Hall
• Jim X. Hall, MD
• Lara E. Hall, M.D.
• Winthrop Huntington Hall III, MD
• Heather Lynae Hallowell, PA-C
• Ji Eun Ham
• David George Hamilton

• Pediatric Dentistry in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.