Organization Active NPI

Halls Advanced Dentistry & Implant Center PLLC

  • General Practice Dentistry
  • Show Low, AZ
National Provider Identifier
1164545745
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HALLS ADVANCED DENTISTRY & IMPLANT CENTER PLLC
Practice address
308 N White Mountain Rd
Suite #D
Show Low, AZ 85901-5260
Phone
(928) 242-0016
Fax
(928) 537-4109
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Dr. David Halls, DMDNPI 1336262096
Title
Member
Phone
(928) 352-5550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

308 N White Mountain Rd
Suite #D
Show Low, AZ 85901-5260

Mailing address

308 N White Mountain Rd
Suite #D
Show Low, AZ 85901-5260
Phone (928) 532-5550

National Provider Directory

National Provider Directory

Locations

308 N White Mountain Rd
Ste D
Show Low, AZ 85901
Phone (928) 367-2776

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1164545745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N WHITE MOUNTAIN RD",
            "address_2": "SUITE #D",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015260",
            "telephone_number": "928-532-5550",
            "fax_number": "928-537-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N WHITE MOUNTAIN RD",
            "address_2": "SUITE #D",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015260",
            "telephone_number": "928-242-0016",
            "fax_number": "928-537-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLS ADVANCED DENTISTRY & IMPLANT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "HALLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-352-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.